IndividualActive
Kelsie Mothersead
NPI 1508555210 · Surgical Physician Assistant · Chesterton, IN
Provider details
- NPI number
- 1508555210
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
601 Gateway Blvd N
Chesterton, IN 46304-9658
Phone: (219) 921-1444
Fax: (219) 921-5303
Mailing address
601 Gateway Blvd N
Chesterton, IN 46304-9658
Registry dates
- Enumerated
- 2023-05-08
- Last updated
- 2024-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.