Individual
KELSEY KAY SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1150 RESERVOIR AVE STE 203, CRANSTON, RI 02920-6043
(410) 259-0340
Mailing address
716 COUNTY ROAD 10 NE # 189, BLAINE, MN 55434-2331
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PA01479
RI
363A00000X
Physician Assistant
Primary
PA01479
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
PA01479
RI
Other
Enumeration date
09/14/2017
Last updated
07/12/2024
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