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NPI Code Detail

MEDICARE: KELSEY ARNESON

MEDICARE: KELSEY ARNESON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2736AL
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1275280950
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY ARNESON
Provider Business Mailing Address
First Line : 2201 JACK WARNER PKWY
Second Line :
City : TUSCALOOSA
State : AL
Zip : 35401-1090
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2201 JACK WARNER PKWY
Second Line :
City : TUSCALOOSA
State : AL
Zip : 35401-1090
Country : US
Telephone Number : 205-523-6901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2022
Last Update Date : 05/19/2022

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Directions to “ KELSEY ARNESON ” Practice Location

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