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NPI Code Detail

MEDICARE: KELSEY AUSTIN CNRA

MEDICARE: KELSEY AUSTIN CNRA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician683015PA

General Provider Information

NPI Number : 1023790557
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY AUSTIN CNRA
Provider Business Mailing Address
First Line : 555 N DUKE ST
Second Line :
City : LANCASTER
State : PA
Zip : 17602-2250
Country : US
Telephone Number : 717-544-5511
Fax Number :
Provider Business Practice Location Address
First Line : 555 N DUKE ST
Second Line :
City : LANCASTER
State : PA
Zip : 17602-2250
Country : US
Telephone Number : 717-544-5511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2023
Last Update Date : 01/21/2026

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Directions to “ KELSEY AUSTIN CNRA” Practice Location

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