MEDICARE: KELSEY DULIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0019X	Physical Rehabilitation Occupational Therapist	2019005372	MO

General Provider Information

NPI Number	:	1629935994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY DULIN

Provider Business Mailing Address
First Line	:	4800 EAGLEVIEW DR # 514
Second Line	:
City	:	OSAGE BEACH
State	:	MO
Zip	:	65065-2757
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4800 EAGLEVIEW DR # 514
Second Line	:
City	:	OSAGE BEACH
State	:	MO
Zip	:	65065-2757
Country	:	US
Telephone Number	:	573-476-4732
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

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Directions to “ KELSEY DULIN ” Practice Location

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