Individual
KELSEY ANITA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HOSPITAL PLZ, STAMFORD, CT 06902-3602
(203) 276-1000
Mailing address
1 HOSPITAL PLZ, STAMFORD, CT 06902-3602
(203) 276-7470
(203) 276-5560
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6672
CT
363AM0700X
Medical Physician Assistant
MA064125
PA
Other
Enumeration date
07/25/2022
Last updated
08/19/2024
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