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Contact Information

KELSEY JOHNSON
11143 PARKVIEW PLAZA DR
SUITE 311
FORT WAYNE, IN46845-1727
 Phone: 260-482-3886
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Genetic Counselor, MS

170300000X
Indicates primary specialty

NPI Profile & details for KELSEY JOHNSON · (Female)

NPI # 1255774501
Status Active
Credentials
Entity Individual
Enumeration date 04/16/2013
Last updated 04/16/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 99052419A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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