Provider Demographics
NPI:1013783182
Name:LEFEVER, KELSI ANNE (CRNP)
Entity type:Individual
Prefix:
First Name:KELSI
Middle Name:ANNE
Last Name:LEFEVER
Suffix:
Gender:
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:644 CRESTGATE PL
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17551-2118
Mailing Address - Country:US
Mailing Address - Phone:717-725-9327
Mailing Address - Fax:
Practice Address - Street 1:860 1ST AVE STE 2
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-4033
Practice Address - Country:US
Practice Address - Phone:610-595-5517
Practice Address - Fax:215-392-3088
Is Sole Proprietor?:No
Enumeration Date:2023-11-30
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP028409363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health