person
Kelsea M Ice, NP
Family Nurse Practitioner in Indianapolis, Indiana
NPI 1659805646

Kelsea M Ice is a Family Nurse Practitioner based in Indianapolis, IN and is specialized in Family. Kelsea M Ice practices in Indianapolis, IN and has the professional credentials of NP. The NPI Number for Kelsea M Ice is 1659805646 and holds a License No. 71007039A (Indiana).

The current practice location address for Kelsea M Ice is 1120 South Dr, Indianapolis, IN and can be reached out via phone at 317-274-0275 and via fax at 317-274-0256.

Location: 1120 South Dr, Indianapolis, IN, 46219-4959
person
Provider Profile Details
NPI Number
1659805646
Provider Name
Kelsea M Ice
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1120 South Dr, Indianapolis, IN, 46219-4959
Phone Number
317-274-0275
Fax Number
317-274-0256
Provider Enumeration Date
04/17/2017
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
000001140310 01 IN ANTHEM PTAN
1659805646 01 IN ANTHEM PTAN
300002112 05 IN
institution
Provider Business Practice Location Address Details
Address
1120 South Dr
City
State
Zip
46202-5135
Phone Number
317-274-0275
Fax Number
317-274-0256
person
Provider Business Mailing Address Details
Address
1120 South Dr
City
State
Zip
46202-5135
Phone Number
317-274-0275
Fax Number
317-274-0256
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71007039A (Indiana)
Definition
Definition to come...
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