Kelsey Dodd Kannookaden, PA-C

NPI #1194313254 in Decatur, Indiana

Provider Information

NPI Number: 1194313254
Entity Type: Individual
Name: Kelsey Dodd Kannookaden, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 5, 2021
Last Updated: Sep 18, 2024

Practice Location

Address: 1100 MERCER AVE
City: Decatur
State: Indiana
ZIP Code: 46733-2303
Phone: (262) 832-4282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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