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Kelsey Marie Adams

Student in an Organized Health Care Education/Training Program

Student, Health Care

3000 Arlington Ave, Toledo, OH 43614-2592

PECOS Enrollment

This provider is enrolled in PECOS as KELSEY ADAMS.

Based on the most recent information from CMS, provider Kelsey Marie Adams is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:36 AM.

Profile Details

Provider ID
1427828458
Provider Type
Individual
Full Name
Adams, Kelsey Marie
Gender
Female

Sole Proprietor
No
Enumeration Date
1/2/2024
Last Updated
1/2/2024

Contact Information

Practice Location

3000 Arlington Ave, Toledo, OH 43614-2592

(419) 530-5408

Unlisted Fax

Mailing Location

N18011 Eustis Rd, Bark River, MI 49807-9484

(906) 241-0070

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Kelsey Marie Adams

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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