Provider Demographics
NPI:1386242972
Name:WELLMAN, KELSEY ADAIR (AUD)
Entity type:Individual
Prefix:DR
First Name:KELSEY
Middle Name:ADAIR
Last Name:WELLMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:KELSEY
Other - Middle Name:ADAIR
Other - Last Name:SKINNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:802 LANDMARK DR STE 119
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-9121
Mailing Address - Country:US
Mailing Address - Phone:410-760-8840
Mailing Address - Fax:
Practice Address - Street 1:802 LANDMARK DR
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-9100
Practice Address - Country:US
Practice Address - Phone:410-760-8840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-15
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist