Healthcare Provider Details

I. General information

NPI: 1386563419
Provider Name (Legal Business Name): KELSEY LUDWIG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S VALLEY VIEW DR
NORWALK IA
50211-2500
US

IV. Provider business mailing address

201 S VALLEY VIEW DR
NORWALK IA
50211-2500
US

V. Phone/Fax

Practice location:
  • Phone: 712-229-6518
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA192682
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: