Wagner, Kelsey

Wagner, Kelsey is an individual health care provider with primary practice located at 4754 W 50 N , Rensselaer IN 47978-8557. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Wagner, Kelsey can be contacted via phone (219) 863-3787.

Contact Information

Primary practice address
4754 W 50 N Rensselaer IN 47978-8557
Phone: (219) 863-3787
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 31006833A Indiana

Profile Details

NPI number 1801269543
LBN Legal business name Wagner, Kelsey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2015
Last updated Jul 29th, 2020 - about 5 years 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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