| Doctor Name: | KELSIE CARNAHAN |
| NPI Number: | 1871968917 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 300 W Pier Dr Apt 146 C Sault Sainte Marie, MI - 497831870 |
| Business Phone Number: | 4194392464 |
| Business Fax Number: | |
| Mailing Address: | 300 W Pier Dr, Apt 146 C SAULT SAINTE MARIE |
| State: | MI |
| Postal Code: | 497831870 |
| Phone Number: | 4194392464 |
| Fax Number: | |
| NPI Enumeration Date: | 12/01/2015 |
| NPI Last Update Date: | 12/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 247000000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Technician, Health Information |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Preferred term for an Accredited Record Technician who is an individual with an associate |