Kelsey Dutka

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP453712 Issued in PA

Practice address

2647 N 6TH St
Harrisburg, PA 17110-2641

Phone

(717) 236-9094

NPI assigned

Apr 24, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kelsey Dutka Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1063032555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 ORRS BRIDGE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111445",
            "telephone_number": "814-460-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 N 6TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171102641",
            "telephone_number": "717-236-9094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2645 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171102001",
            "country_code": "US",
            "telephone_number": "717-232-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUTKA",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP453712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "DUTKA",
            "credential": "PHARMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jessica Dunn, PT
• Kimbery Dunn
• Krista Dupler, BS
• Gale Dupont, OT
• Michelle Dusel, DPT
• Andrew Philip Duty, B.A.
• Kathleen Marie Dwyer, RD, LDN, PHD
• Ellen M Dyer, CRNP
• Dynamic Rehab Solutions
• Eagle Behavioral Health Services

• Pharmacist in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.