Individual
KELSEY AILEEN CUSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 MOUNTAIN LAUREL WAY, PLYMOUTH, MA 02360-1685
(518) 573-0224
Mailing address
22 MOUNTAIN LAUREL WAY, PLYMOUTH, MA 02360-1685
(518) 573-0224
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2351237
MA
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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