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NPI Code Detail

MEDICARE: KELSEY OSLAN

MEDICARE:   KELSEY  OSLAN
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

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 : 1841658663
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY OSLAN
Provider Business Mailing Address
First Line : 10550 W STATE ROAD 84 LOT 169
Second Line :
City : DAVIE
State : FL
Zip : 33324-4211
Country : US
Telephone Number : 954-952-5468
Fax Number :
Provider Business Practice Location Address
First Line : 4117 N PINE ISLAND RD
Second Line :
City : SUNRISE
State : FL
Zip : 33351-6005
Country : US
Telephone Number : 954-605-0378
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2016
Last Update Date : 06/02/2025

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Directions to “ KELSEY OSLAN ” Practice Location

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