MACKENZEE KOSELKE PA-C
NPI 1376454215
Physician Assistant in Wanatah, IN
About Mackenzee Koselke Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACKENZEE KOSELKE PA-C (NPI 1376454215) is an individual physician assistant in Wanatah, Indiana, licensed in Indiana (10005464A) and active in the NPI registry since September 2026.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mackenzee Koselke's NPI number?
The NPI number for Mackenzee Koselke is 1376454215. It was assigned to this individual provider in the NPPES registry on September 16, 2026.
Where is Mackenzee Koselke located?
Mackenzee Koselke practices at 11783 W 1600 S, Wanatah, IN 46390. The listed phone number is (219) 307-6742.
What is Mackenzee Koselke's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
When was this NPI record last updated?
The NPPES record for Mackenzee Koselke was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.