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General NPI Number Information
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NPI Number | 1144728965
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Entity Type | Individual
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Provider Name | KELSIE O CAIN APRN
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Gender | Female
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Dates
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Enumeration Date | 01/26/2018
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 502 HAUSFELDT LN
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City | NEW ALBANY
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State | IN
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Zip | 47150-2221
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Country | US
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Telephone | 502-456-6200
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Fax | 502-456-6655
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Provider Business Mailing Address
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Address Line | 6200 DUTCHMANS LN STE 200
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City | LOUISVILLE
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State | KY
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Zip | 40205-3285
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Country | US
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Telephone | 502-456-6200
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Fax | 502-456-6655
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3013158
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 28241097A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71007827A
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License Number State | IN
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