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
Fax: (419) 238-7768
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790039196 NPPES
Ohio MEDICAID 0080308

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