Healthcare Provider Details

I. General information

NPI: 1326969023
Provider Name (Legal Business Name): KELSI LYNNE STENCEL PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. KELSI LYNNE HAUTER

II. Dates (important events)

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

III. Provider practice location address

300 E WARWICK DR
ALMA MI
48801-1014
US

IV. Provider business mailing address

PO BOX 2579
MIDLAND MI
48641-2579
US

V. Phone/Fax

Practice location:
  • Phone: 989-463-1101
  • Fax:
Mailing address:
  • Phone: 989-205-4500
  • Fax: 989-794-5942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: