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Contact Information

MARY LOU KELSEY, ANP CNM RN
4136 BARTLETT ST
HOMER MEDICAL CLINIC
HOMER, AK99603
 Phone: 907-235-8586
 Fax: 907-235-6639
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MARY LOU KELSEY · (Female)

NPI # 1184668063
Status Active
Credentials ANP CNM RN
Entity Individual
Enumeration date 06/15/2006
Last updated 08/20/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • AK License # NP47
  • AK License # RN8404
  • AK Medicaid NM0188
  • Other MK0010164 USDA
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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