Provider Demographics
NPI:1518437672
Name:ORF, KELSEY MARIE (AGNP)
Entity Type:Individual
Prefix:MRS
First Name:KELSEY
Middle Name:MARIE
Last Name:ORF
Suffix:
Gender:F
Credentials:AGNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5021 FREEHOLD ROCK DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-8544
Mailing Address - Country:US
Mailing Address - Phone:314-882-8126
Mailing Address - Fax:
Practice Address - Street 1:2 MEMORIAL DR
Practice Address - Street 2:SUITE 205
Practice Address - City:ALTON
Practice Address - State:IL
Practice Address - Zip Code:62002-6723
Practice Address - Country:US
Practice Address - Phone:314-362-8200
Practice Address - Fax:314-362-2203
Is Sole Proprietor?:No
Enumeration Date:2018-12-03
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018042614363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health