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NPI Code Detail

MEDICARE: KELSIE E HALSTED

MEDICARE:   KELSIE E HALSTED
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
1101Y00000XCounselor6451024456MI

General Provider Information

NPI Number : 1558194118
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSIE E HALSTED
Provider Business Mailing Address
First Line : 1060 AARON DR APT 506
Second Line :
City : DEWITT
State : MI
Zip : 48820-7976
Country : US
Telephone Number : 517-743-1297
Fax Number :
Provider Business Practice Location Address
First Line : 411 W LAKE LANSING RD STE B110
Second Line :
City : EAST LANSING
State : MI
Zip : 48823-8468
Country : US
Telephone Number : 517-657-3533
Fax Number : 517-580-0530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2024
Last Update Date : 07/15/2025

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Directions to “ KELSIE E HALSTED ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.