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NPI Code Detail

MEDICARE: KELSEY HUG

MEDICARE: KELSEY HUG
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1215589494
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY HUG
Provider Business Mailing Address
First Line : 907 N EAST ST STE 109
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-3425
Country : US
Telephone Number : 317-851-0512
Fax Number :
Provider Business Practice Location Address
First Line : 907 N EAST ST STE 109
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-3425
Country : US
Telephone Number : 317-851-0512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2019
Last Update Date : 01/07/2026

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Directions to “ KELSEY HUG ” Practice Location

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