Individual
KELSEY DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 BYRON PL, NEW HAVEN, CT 06515-2405
(203) 623-5436
Mailing address
31 BYRON PL, NEW HAVEN, CT 06515-2405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10038
CT
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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