Kelsey Wideman PA-C

  • NPI 1124495650
According to our database, the NPI number for Kelsey Wideman PA-C is 1124495650 and activated since 8 years ago. Kelsey Wideman PA-C is an individual provider who specializes in Medical, and the primary practice location is 714 N Michigan St, South Bend, IN 46601. You can also contact Kelsey Wideman PA-C via telephone number is (574) 647-7477. Provider NPI information was last updated on 04/06/2021.

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Overview of Kelsey Wideman PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 09/01/2015
  • Last updated: 04/06/2021

Primary Scrop of Practice

  • Taxonomy Code: 363AM0700X
  • Specialty: Medical
  • License Number: 10001856A
  • License State: IN

Provider Mailing Address

  • Address: 710 N Niles Ave
    South Bend, IN 46617
  • Phone: 574-647-1610
  • Fax: 574-237-6069

Provider Practice Location

  • Address: 714 N Michigan St
    South Bend, IN 46601
  • Phone: 574-647-7477
  • Fax: 574-647-3655

Scope of Practice

  • Taxonomy Code: 363AM0700X
  • Specialty: Medical
  • License Number: 10001856A
  • License State: IN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 300006438
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IN
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kelsey Wideman PA-C?
  • A: The npi number for Kelsey Wideman PA-C is 1124495650.
  • Q: What are Kelsey Wideman PA-C's specialties?
  • A: Kelsey Wideman PA-C's specialties are Medical and different specialities.
  • Q: What is the medical license for Kelsey Wideman PA-C?
  • A: The medical license number for Kelsey Wideman PA-C is 10001856A and issued in IN in USA.
  • Q: Where is Kelsey Wideman PA-C practice location?
  • A: Kelsey Wideman PA-C is practicing at 714 N Michigan St, South Bend, IN 46601.
  • Q: How to contact Kelsey Wideman PA-C?
  • A: You can contact Kelsey Wideman PA-C via 574-647-7477.