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NPI Code Detail

MEDICARE: KELSEY PRITCHETT

MEDICARE: KELSEY PRITCHETT
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1497115638
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY PRITCHETT
Provider Business Mailing Address
First Line : 1178 BROADWAY AVE
Second Line :
City : SEASIDE
State : CA
Zip : 93955-4934
Country : US
Telephone Number : 831-394-4622
Fax Number :
Provider Business Practice Location Address
First Line : 1178 BROADWAY AVE
Second Line :
City : SEASIDE
State : CA
Zip : 93955-4934
Country : US
Telephone Number : 831-394-4622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2016
Last Update Date : 03/15/2016

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Directions to “ KELSEY PRITCHETT ” Practice Location

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