Kelsey Wideman is a Medical Physician Assistant based in South Bend, IN and is specialized in Medical. Kelsey Wideman practices in South Bend, IN and has the professional credentials of PA-C. The NPI Number for Kelsey Wideman is 1124495650 and holds a License No. 10001856A (Indiana).
The current practice location address for Kelsey Wideman is 714 N Michigan St, South Bend, IN and can be reached out via phone at 574-647-7477 and via fax at 574-647-3655. You can also correspond with Kelsey Wideman through the mailing address at 710 N NILES AVE, SOUTH BEND, IN - 46617-1924 (mailing address contact number: 574-647-1610).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300006438 | 05 | IN |
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