| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KELSEY NICOLE ANDERSON | 1669292868 | 2024-10-12 |
Kelsey Nicole Anderson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1669292868. Registration indicates Kelsey Nicole Anderson is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, )
| Entity Type | Individual |
| Provider Name | Kelsey Nicole Anderson PA |
| Practice Office Address | 1318 KANSAS DR PAOLA, KS US |
| Practice Office Telephone | 9135575678 |
| Mailing Address | 3909 W 141ST DR LEAWOOD, KS 662249714 US |
| Business Telephone | 9135225670 |
| Code | Practice | License No State |
|---|---|---|
| 363AM0700X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | 15-02998
KS |