Provider Demographics
NPI:1891203790
Name:ELKINS, KELSEY LAU (APRN FNP)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:LAU
Last Name:ELKINS
Suffix:
Gender:F
Credentials:APRN FNP
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:CARRIE
Other - Last Name:ELKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:52 RIVER WOODS RD
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-9168
Mailing Address - Country:US
Mailing Address - Phone:907-903-9806
Mailing Address - Fax:
Practice Address - Street 1:915 HIGHLAND BLVD
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-6902
Practice Address - Country:US
Practice Address - Phone:406-414-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-14
Last Update Date:2018-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT127429363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner