Provider Demographics
NPI:1033851357
Name:TITZMAN, KELSEY (DO)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:TITZMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 583
Mailing Address - Street 2:
Mailing Address - City:POTH
Mailing Address - State:TX
Mailing Address - Zip Code:78147-0583
Mailing Address - Country:US
Mailing Address - Phone:830-391-4003
Mailing Address - Fax:
Practice Address - Street 1:1851 N MCKENZIE ST STE 200
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-4700
Practice Address - Country:US
Practice Address - Phone:251-424-1232
Practice Address - Fax:251-424-1955
Is Sole Proprietor?:No
Enumeration Date:2022-04-07
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program