Individual
NICOLE A KELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO-55522
IA
2084P0800X
Psychiatry Physician
Primary
R-12653
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
IA
Other
Enumeration date
03/30/2022
Last updated
02/17/2026
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