Individual
KELSEY WELSH DEPRIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
82 NEW PARK AVE, NORTH FRANKLIN, CT 06254-1807
(860) 889-7345
(860) 885-7227
Mailing address
82 NEW PARK AVE, NORTH FRANKLIN, CT 06254-1807
(860) 889-7345
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5417
CT
363AS0400X
Surgical Physician Assistant
C5-0001027
DE
Other
Enumeration date
10/19/2015
Last updated
12/06/2021
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