KELSEY ANN CLARK (NPI# 1215489307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215489307 |
| Entity Type | Individual |
| Full Name | KELSEY ANN CLARK |
| Other Name | MRS. KELSEY CLARK COSSUTO |
| Credential | RVT, RDCS |
| Practice Address |
13 Indian Ridge Rd New Milford CT 06776-4614 |
| Practice Telephone | 6037707299 |
| Mailing Telephone | 6037707299 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
168132 | CT | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205193984 | Kelsey Nicole Clark | Counselor | 400 S Jefferson St Ste 200, Spokane, WA 99204-3143 | 2012-04-18 |
| 1174124374 | Kelsey Clark | Social Worker | 1865 N Ridge Rd E, Lorain, OH 44055-3300 | 2020-11-04 |
| 1972102465 | Kelsey Clark | Pharmacist | 1362 W Main St, Whitewater, WI 53190-1504 | 2020-10-26 |
| 1063010312 | Kelsey Leigh-ann Clark | Nurse Practitioner | 10939 Al Highway 157, Moulton, AL 35650-1914 | 2020-10-09 |
| 1063034593 | Kelsey Ann Clark | Behavioral Analyst | 420 S Jones Blvd, Las Vegas, NV 89107-2658 | 2020-05-06 |
| 1164948337 | Kelsey Anne Clark | Physical Therapy Assistant | 8840 Cypress Waters Blvd Ste 300, Coppell, TX 75019-4630 | 2017-08-18 |
| 1891145520 | Kelsey Clark | Occupational Therapist | 721 N Juniata St, Hollidaysburg, PA 16648-1455 | 2016-06-14 |
| 1144510629 | Kelsey Nichole Clark | Occupational Therapist | 165 Plaza Ct, Kingwood, WV 26537-1653 | 2011-04-18 |
| 1679870604 | Kelsey Lynn Clark | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2011-02-28 |
| Street Address |
13 INDIAN RIDGE RD |
| City | NEW MILFORD |
| State | CT |
| Zip Code | 06776-4614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639680879 | Foot & Ankle Specialists of Ct PC | Podiatrist | 7 Pickett District Road, New Milford, CT 06776 | 2017-10-16 |
| 1477715035 | Abra Grize Mabasa | Family Medicine | 169 Danberry Rd., New Milford, CT 06776 | 2008-06-25 |
| 1134393259 | Brian A Fusillo | Dentist | One Aspetuck Ave, New Milford, CT 06776 | 2008-04-18 |
| 1972791499 | New Milford Chiropractic | Chiropractor | 5 Old Town Park Road, South End Plaza Unit 70, New Milford, CT 06776 | 2007-10-10 |
| 1366637084 | Mary Mackessy | Emergency Medicine | 21 Elm Street, New Milford, CT 06776 | 2007-09-06 |
| 1659407021 | Margaret Martha Babington | Specialist/Technologist | 101 Aspetuck Ave, Canterbury School, New Milford, CT 06776 | 2007-02-27 |
| 1053448456 | Lisa Gay Witham | Specialist/Technologist | 101 Aspetuck Ave., Canterbury School, New Milford, NH 06776 | 2007-02-27 |
| 1710049754 | Linda Gail Smith | Social Worker | New Milford Hospital Behavioral Health Services, 18 Elm St, New Milford, CT 06776 | 2006-12-15 |
| 1881777597 | Candlewood New Milford LLC | Skilled Nursing Facility | 30 Park Lane East, New Milford, CT 06776 | 2006-10-24 |
| 1417030651 | Interface Center Inc | Counselor | 46 Danbury Rd, Suite 6, New Milford, CT 06776 | 2006-10-23 |
| Find all providers in zip 06776 | ||||
| Taxonomy Code | 246XS1301X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053823187 | Julianne Desimone | Spec/Tech, Cardiovascular | 354 William St, New Milford, NJ 07646-1829 | 2017-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992255285 | Andy Morrison | Spec/Tech, Cardiovascular | 221 Trumbull St, Apt 3203, Hartford, CT 06103-1500 | 2016-10-11 |
| 1730557505 | Fausto Minaya Correa | Spec/Tech, Cardiovascular | 540 Bishop Dr, Orange, CT 06477-2522 | 2015-09-09 |
| 1912175639 | Prohealth Physicians PC | Spec/Tech, Cardiovascular | 4 Farm Springs Rd, Farmington, CT 06032-2573 | 2008-02-15 |
| City | NEW MILFORD |
| Zip Code | 06776 |
Please comment or provide details below to improve the information on KELSEY ANN CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.