Provider Demographics
NPI:1356225759
Name:ROCKSTROH, KELSEY MARIE (BSN, RN)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:MARIE
Last Name:ROCKSTROH
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:MARIE
Other - Last Name:TESKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:2720 CALIFORNIA RD
Mailing Address - Street 2:
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46514-1220
Mailing Address - Country:US
Mailing Address - Phone:574-262-5703
Mailing Address - Fax:574-262-5548
Practice Address - Street 1:2720 CALIFORNIA RD
Practice Address - Street 2:
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46514-1220
Practice Address - Country:US
Practice Address - Phone:574-262-5703
Practice Address - Fax:574-262-5548
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28219620A163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool