Healthcare Provider Details

I. General information

NPI: 1093392227
Provider Name (Legal Business Name): KELSEY CARD DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 10/18/2024
Certification Date: 10/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

248 PLEASANT ST STE 2600
CONCORD NH
03301-7529
US

IV. Provider business mailing address

248 PLEASANT ST STE 2600
CONCORD NH
03301-7529
US

V. Phone/Fax

Practice location:
  • Phone: 603-224-1929
  • Fax:
Mailing address:
  • Phone: 603-401-9822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number32154
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: