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NPI Code Detail

MEDICARE: KELSEY DAWN MCCASLIN NP-C

MEDICARE: KELSEY DAWN MCCASLIN NP-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
1363L00000XNurse Practitioner1210335TX
2363L00000XNurse Practitioner41532TN
3363L00000XNurse Practitioner15996CT
4363L00000XNurse Practitioner71008364AIN
5363L00000XNurse Practitioner24195481VA
6363L00000XNurse Practitioner4051049KY
7363L00000XNurse Practitioner11043824FL
8363L00000XNurse Practitioner209018287IL
9363L00000XNurse Practitioner0040209OH
10363L00000XNurse Practitioner277001544IL

General Provider Information

NPI Number : 1659853273
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY DAWN MCCASLIN NP-C
Provider Business Mailing Address
First Line : 1160 E SAINT CLAIR ST
Second Line :
City : VINCENNES
State : IN
Zip : 47591-4853
Country : US
Telephone Number : 812-885-3106
Fax Number : 812-885-8499
Provider Business Practice Location Address
First Line : 520 S 7TH ST
Second Line :
City : VINCENNES
State : IN
Zip : 47591-1038
Country : US
Telephone Number : 812-885-8035
Fax Number : 812-885-8048
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2018
Last Update Date : 04/13/2026

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