Provider Demographics
NPI:1245856137
Name:HUTCHISON, KELSEY MORGAN (NP)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:MORGAN
Last Name:HUTCHISON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17160 DRAGONFLY DR
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-3632
Mailing Address - Country:US
Mailing Address - Phone:317-678-2600
Mailing Address - Fax:317-678-2610
Practice Address - Street 1:17160 DRAGONFLY DR
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-3632
Practice Address - Country:US
Practice Address - Phone:317-678-2600
Practice Address - Fax:317-678-2610
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71010115A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily