MEDICARE: KELSI MAY RN, FNP-C

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
1	363LF0000X	Family Nurse Practitioner	122483	WV

General Provider Information

NPI Number	:	1518751502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSI MAY RN, FNP-C

Provider Business Mailing Address
First Line	:	228 E ELDER ST
Second Line	:
City	:	CUMBERLAND
State	:	MD
Zip	:	21502-4710
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	783 WINCHESTER ST
Second Line	:
City	:	PAW PAW
State	:	WV
Zip	:	25434-3258
Country	:	US
Telephone Number	:	304-947-5500
Fax Number	:	304-947-5563

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2025
Last Update Date	:	11/14/2025

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