DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KELSEY POLTY

MEDICARE: KELSEY POLTY
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
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942706619
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY POLTY
Provider Business Mailing Address
First Line : 5018 SOUTHAMPTON DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99503-6965
Country : US
Telephone Number : 907-744-7697
Fax Number :
Provider Business Practice Location Address
First Line : 4000 SAN ERNESTO AVE
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-2874
Country : US
Telephone Number : 907-729-5020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2018
Last Update Date : 06/16/2018

Similar Medicare Providers

1912833583 — CIPRIANA CASTELLANO
Practice Location Address:
4000 SAN ERNESTO AVE
ANCHORAGE, AK
99508-2874
Practice Phone: 907-729-5020
Practice Fax:
1639102882 — SOUTHCENTRAL FOUNDATION
Practice Location Address:
4000 SAN ERNESTO AVE
ANCHORAGE, AK
99508-2874
Practice Phone: 907-729-5020
Practice Fax:
1912112012 — JO ANN BARTLEY PHD
Practice Location Address:
4000 SAN ERNESTO AVE
ANCHORAGE, AK
99508-2874
Practice Phone: 907-729-5056
Practice Fax:
1710388608 — ZACHARY PAULSON LCSW
Practice Location Address:
4000 SAN ERNESTO AVE
ANCHORAGE, AK
99508-2874
Practice Phone: 907-729-5030
Practice Fax:
1548646961 — KENNETH D SWAZER BHT II
Practice Location Address:
4000 SAN ERNESTO AVE
ANCHORAGE, AK
99508-2874
Practice Phone: 907-729-5020
Practice Fax:
1760919633 — BRIAN CASSIDY LPC
Practice Location Address:
4000 SAN ERNESTO AVE
ANCHORAGE, AK
99508-2874
Practice Phone: 907-729-5055
Practice Fax: 907-729-5055

Directions to “ KELSEY POLTY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.