Kelsey Ann Clark, RVT, RDCS
Individual provider Active NPI Sonography Specialist/Technologist Cardiovascular · New Milford, CT
NPI 1215489307 · NPPES record last updated Oct 25, 2016
Key facts
- NPI
- 1215489307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sonography Specialist/Technologist Cardiovascular 246XS1301X
- License
- 168132 (CT)
- Practice address
- 13 Indian Ridge Rd
New Milford, CT 06776-4614 - Phone
- (603) 770-7299
- NPI assigned
- Oct 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168132 | CT | MD | Sonography Specialist/Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Specialist/Technologist Cardiovascular | 246XS1301X | 168132 | CT | Yes |
Addresses
Primary practice location
13 Indian Ridge Rd
New Milford, CT 06776-4614
Mailing address
13 Indian Ridge Rd
New Milford, CT 06776-4614
Phone (603) 770-7299
Other names
- Mrs. Kelsey Clark Cossuto
Other providers in New Milford, CT
- Center for Healthy Living
- Jessica Lea Chesbro
- Christina Keenan LPC LLC
- Christopher Carlone DDS PC LLC
- Edith Chu
- Morris Clark
- Paloma Silva Coelho
- Victor Isaac Cohen
- Kendra Elaine Cole
- Margaret E Connaghan
All providers in New Milford, CT · Sonography Specialist/Technologist Cardiovascular in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.