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General NPI Number Information
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NPI Number | 1003672502
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Entity Type | Individual
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Provider Name | KELSAN MCKENZIE CONEKIN RN
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Gender | Male
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Dates
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Enumeration Date | 02/22/2024
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 2380 MCGINLEY RD
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City | MONROEVILLE
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State | PA
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Zip | 15146-4400
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Country | US
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Telephone | 412-516-9456
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Fax |
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Provider Business Mailing Address
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Address Line | 536 TODD AVE APT 6
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City | ELLWOOD CITY
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State | PA
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Zip | 16117-1145
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Country | US
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Telephone | 412-519-7959
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | RN806784
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License Number State | PA
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