Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELSEY DODD KANNOOKADEN, PA-C
ActivePhysician Assistant · DECATUR, IN
Registration Details
- NPI Number
- 1194313254
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 5, 2021 (5.3046701490231 yrs)
- Last Updated
- Sep 18, 2024
Practice Information
- Address
-
1100 MERCER AVEDECATUR, IN, 467332303Browse IN providers · Browse ZIP 46733
- Phone
- 2628324282
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in DECATUR, IN
| Name | Credential | NPI |
|---|---|---|
| BRADLEY D BOYLE | PA | 1982684965 |
| EDWARD RESENDEZ | PA | 1255904983 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.