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NPI Code Detail

MEDICARE: KELSEY KEYSER

MEDICARE: KELSEY KEYSER
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

General Provider Information

NPI Number : 1528608726
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY KEYSER
Provider Business Mailing Address
First Line : 325 COLUMBIA ST STE 300
Second Line :
City : HUDSON
State : NY
Zip : 12534-1931
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 325 COLUMBIA ST STE 300
Second Line :
City : HUDSON
State : NY
Zip : 12534-1931
Country : US
Telephone Number : 518-828-9446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2020
Last Update Date : 01/15/2020

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Directions to “ KELSEY KEYSER ” Practice Location

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