Provider Demographics
NPI:1427738095
Name:PRICE, KELSI (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:KELSI
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 HIGHWAY 18
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:AR
Mailing Address - Zip Code:72437-9603
Mailing Address - Country:US
Mailing Address - Phone:870-237-1055
Mailing Address - Fax:
Practice Address - Street 1:803 HIGHWAY 18
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:AR
Practice Address - Zip Code:72437-9603
Practice Address - Country:US
Practice Address - Phone:870-237-1055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR212965363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily