Active NPIIndividual provider

Kelsey W Depriest, PA-C

Physician Assistant, Surgical in North Franklin, Connecticut

NPI Number1306217211
Practice location
82 New Park Ave, North Franklin, CT 06254-1807
Fax
860-885-7227
Last updated
December 6, 2021

Kelsey Welsh Depriest is a Physician Assistant, Surgical based in North Franklin, CT. Kelsey Welsh Depriest practices in North Franklin, CT and has the professional credentials of PA-C. The NPI Number for Kelsey Welsh Depriest is 1306217211 and holds a License No. C5-0001027 (DE). The current practice location address for Kelsey Welsh Depriest is 82 New Park Ave, North Franklin, CT 06254-1807 and can be reached out via phone at 860-889-7345 and via fax at 860-885-7227.

Provider Profile Details

NPI Number
1306217211
Provider Name
Kelsey Welsh Depriest
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
82 New Park Ave, North Franklin, CT 06254-1807
Phone Number
860-889-7345
Fax Number
860-885-7227
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
October 19, 2015
Last Update Date
December 6, 2021
Certification Date
December 6, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
82 New Park Ave
North Franklin, CT 06254-1807
Zip
06254-1807
Phone Number
860-889-7345
Fax Number
860-885-7227
North Franklin, CT 06254Get directions →

Provider Business Mailing Address Details

Address
82 New Park Ave
North Franklin, CT 06254-1807
City
North Franklin
State
CT
Zip
06254-1807
Phone Number
860-889-7345

License Information

License Number (1)
C5-0001027
License State (1)
DE
Taxonomy (1)
Physician Assistant, Surgical · 363AS0400X
License Number (2)
5417
License State (2)
CT
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelsey W Depriest, PA-C?

The NPI number of Kelsey W Depriest, PA-C is 1306217211. It was assigned on October 19, 2015 and is currently active in the NPPES registry.

What is the specialty of Kelsey W Depriest, PA-C?

Kelsey W Depriest, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in DE under license number C5-0001027.

Where does Kelsey W Depriest, PA-C practice?

The practice location is 82 New Park Ave, North Franklin, CT 06254-1807. The office can be reached at 860-889-7345 (phone) or 860-885-7227 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306217211 directly on the NPPES registry website.

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