Provider Demographics
NPI:1386538502
Name:KELSEY, KWANISE ANIKA (BIRTHING DOULA)
Entity type:Individual
Prefix:MRS
First Name:KWANISE
Middle Name:ANIKA
Last Name:KELSEY
Suffix:
Gender:F
Credentials:BIRTHING DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1435 SHERIDAN ST NW APT 104
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-8040
Mailing Address - Country:US
Mailing Address - Phone:202-749-9847
Mailing Address - Fax:
Practice Address - Street 1:1435 SHERIDAN ST NW APT 104
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-8040
Practice Address - Country:US
Practice Address - Phone:202-749-9847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula