Individual
KELSIE MAE TJELMELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26136 US HIGHWAY 59, FAIRFAX, MO 64446-9105
(660) 686-2211
Mailing address
13284 W 113TH ST, OVERLAND PARK, KS 66210-3314
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
134019
KS
363L00000X
Nurse Practitioner
Primary
53-79902-102
KS
Other
Enumeration date
05/26/2020
Last updated
10/12/2021
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