MEDICARE: CHELSY KAY WINTERS

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	174H00000X	Health Educator

General Provider Information

NPI Number	:	1881194462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSY KAY WINTERS

Provider Business Mailing Address
First Line	:	6641 BROADWAY ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-1666
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	615 N ALABAMA ST STE 200
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-1432
Country	:	US
Telephone Number	:	317-713-8519
Fax Number	:

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

Provider Enumeration Date	:	02/20/2018
Last Update Date	:	02/20/2018

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