Provider Demographics
NPI:1952717431
Name:REED, KELSEY RICHTER (DNP, FNP-C)
Entity Type:Individual
Prefix:MS
First Name:KELSEY
Middle Name:RICHTER
Last Name:REED
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:VICKIE
Other - Last Name:RICHTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, FNP-C
Mailing Address - Street 1:901 N MADISON ST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31701-2210
Mailing Address - Country:US
Mailing Address - Phone:229-446-2322
Mailing Address - Fax:229-432-5695
Practice Address - Street 1:901 N MADISON ST
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701
Practice Address - Country:US
Practice Address - Phone:229-446-2322
Practice Address - Fax:229-432-5695
Is Sole Proprietor?:No
Enumeration Date:2014-07-07
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN236000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN236000OtherGEORGIA RN LICENSE
GARN236000OtherGEORGIA NP LICENSE