Provider Demographics
NPI:1396496709
Name:TOON, KELSIE HANNAH SUEANNE (CPM)
Entity type:Individual
Prefix:
First Name:KELSIE
Middle Name:HANNAH SUEANNE
Last Name:TOON
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312 FELTEN DR
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-2616
Mailing Address - Country:US
Mailing Address - Phone:620-804-3511
Mailing Address - Fax:620-269-1049
Practice Address - Street 1:1312 FELTEN DR
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-2616
Practice Address - Country:US
Practice Address - Phone:620-804-3511
Practice Address - Fax:620-269-1049
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-17
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
KSCPM24030418176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No374J00000XNursing Service Related ProvidersDoula