Provider Demographics
NPI:1376806588
Name:ABLE, KELSEY LAINE (DO)
Entity Type:Individual
Prefix:DR
First Name:KELSEY
Middle Name:LAINE
Last Name:ABLE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:LAINE
Other - Last Name:HARPSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17501 E 40 HWY STE 213A
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-6445
Mailing Address - Country:US
Mailing Address - Phone:816-478-4887
Mailing Address - Fax:816-478-7140
Practice Address - Street 1:5330 N OAK TRFY STE 102
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-4600
Practice Address - Country:US
Practice Address - Phone:816-478-4887
Practice Address - Fax:816-478-7140
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSFA5212911207RG0100X
KS9407993207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine