MARJORIE L KELSEY FNP - NPI 1285650903 - Nurse Practitioner in Traverse City, MI

Q: What is Marjorie Kelsey's NPI number?

The NPI number for Marjorie Kelsey is 1285650903. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Marjorie Kelsey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Marjorie Kelsey was last updated on December 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Marjorie L Kelsey Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARJORIE L KELSEY FNP (NPI 1285650903) is an individual family provider in Traverse City, Michigan, licensed in Michigan (4704109396) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1285650903

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARJORIE L KELSEYCredential: FNP

Location Address1200 SIXTH ST STE 200Traverse City, MI 49684-2369

Mailing Address2891 Momentum PlChicago, IL 60689-5328 · (231) 935-6080 · Fax (231) 935-6081

Phone(231) 935-5800

Fax(231) 935-5799

Sole ProprietorNo

Enumeration DateJuly 14, 2006

Last NPPES UpdateDecember 21, 20203 updates tracked since enumeration

NPPES CertifiedDecember 21, 2020

✔ NPI 1285650903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704109396

1200 SIXTH ST STE 200, Traverse City, MI 49684

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEREK HENDRICKSON PA-C

Physician Assistant (Medical)