Provider Demographics
NPI:1952897621
Name:NEHRIG, KELSEY RAE (MPAS, PA-C)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:RAE
Last Name:NEHRIG
Suffix:
Gender:F
Credentials:MPAS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7420 SWITZER ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66203-4550
Mailing Address - Country:US
Mailing Address - Phone:913-574-0560
Mailing Address - Fax:913-274-3499
Practice Address - Street 1:7420 SWITZER ROAD
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66203
Practice Address - Country:US
Practice Address - Phone:913-574-0560
Practice Address - Fax:913-274-3499
Is Sole Proprietor?:No
Enumeration Date:2018-07-06
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant