Individual
KELSI MICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2940 N MCCORD RD, TOLEDO, OH 43615-1753
(419) 842-3000
(419) 842-3047
Mailing address
100 MADISON AVE, TOLEDO, OH 43604-1516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008648RX
OH
363A00000X
Physician Assistant
5601012306
MI
Other
Enumeration date
12/28/2022
Last updated
02/13/2024
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