Individual
ANITA KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
114 WOODLAND ST, CARDIOLOGY, HARTFORD, CT 06105-1208
(860) 714-4821
(860) 714-8001
Mailing address
1000 ASYLUM AVE, STE 2109A, HARTFORD, CT 06105-1719
(860) 714-6581
(860) 714-8311
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
034104
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001341049
—
CT
Enumeration date
05/23/2005
Last updated
03/27/2013
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