Provider Demographics
NPI:1639987878
Name:CARNES, KELSEY (PA)
Entity type:Individual
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First Name:KELSEY
Middle Name:
Last Name:CARNES
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Gender:F
Credentials:PA
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Mailing Address - Street 1:6715 KINGSWOOD DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-2341
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3229 W 47TH PL
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60632-3011
Practice Address - Country:US
Practice Address - Phone:773-254-6044
Practice Address - Fax:773-254-6115
Is Sole Proprietor?:No
Enumeration Date:2024-12-19
Last Update Date:2025-04-24
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant