Most Relevant Information
Provider Data
| NPI Number: | 1003507419 |
| Provider Name: | KELSEY ISRAELSON |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/17/2023 |
| Last Updated: | 05/17/2023 |
Provider Practice Location
1320 W LOMBARD ST
DAVENPORT
IA
528042029
Practice Location Phone/Fax
| Phone: | 5633335827 |
| Fax: |
Provider Mailing Location
1320 W LOMBARD ST
DAVENPORT
IA
528042029
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |