Individual provider · Type 1 NPI

Kennie I. Koelsch, MSN, ACNP-BC, CRNP

Acute Care Nurse Practitioner · Roanoke, VA

NPI number 1174764658 Active

Practice location

2726 Electric Rd
Roanoke, VA 24018-3528

Fax (540) 772-0410

Mailing address

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Other practice locations

  • 1906 Belleview Ave SE, Acp Cardiology, Roanoke, VA 24014-1838 · (540) 981-7000

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X0024171146 (VA)
Acute Care Nurse Practitioner 363LA2100XSP009837 (PA)

Acute Care Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1174764658

Kennie I. Koelsch, MSN, ACNP-BC, CRNP's National Provider Identifier is 1174764658, issued on Mar 13, 2009. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Roanoke, VA. The record was last updated on Feb 11, 2026.