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NPI Code Detail

MEDICARE: MS. KRISTEN M GELNETT

MEDICARE:  MS. KRISTEN M GELNETT
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1114232220
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KRISTEN M GELNETT
Provider Business Mailing Address
First Line : 30 BENNETS NECK DR
Second Line :
City : POCASSET
State : MA
Zip : 02559-3018
Country : US
Telephone Number : 508-340-9382
Fax Number :
Provider Business Practice Location Address
First Line : 4 COURT ST
Second Line : 102
City : TAUNTON
State : MA
Zip : 02780-3218
Country : US
Telephone Number : 617-450-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2010
Last Update Date : 08/16/2010

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Directions to “ MS. KRISTEN M GELNETT ” Practice Location

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