Healthcare Provider Details

I. General information

NPI: 1659180750
Provider Name (Legal Business Name): KELSEY MORGAN HUFFMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KELSEY MORGAN DENNEY

II. Dates (important events)

Enumeration Date: 01/03/2025
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 W UNIVERSITY AVE
MUNCIE IN
47303-3428
US

IV. Provider business mailing address

3501 S POST RD
MUNCIE IN
47302-4977
US

V. Phone/Fax

Practice location:
  • Phone: 765-760-1338
  • Fax:
Mailing address:
  • Phone: 765-760-1338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number28240814A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: