Brokamp, Kelsey Renee
Brokamp, Kelsey Renee is an individual health care provider with primary practice located at 140 Fox Rd , Van Wert OH 45891-2475. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Brokamp, Kelsey Renee can be contacted via phone (419) 238-7727.Contact Information
Primary practice address
140 Fox Rd
Van Wert OH 45891-2475
Phone: (419) 238-7727
Fax: (419) 238-7768
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | NP13989 | Ohio |
Profile Details
NPI number | 1790039196 |
---|---|
LBN Legal business name | Brokamp, Kelsey Renee |
Credentials | ANP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 7th, 2012 |
Last updated | Apr 18th, 2024 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790039196 | NPPES |
Ohio | MEDICAID | 0080308 |
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