Kelsey Lynne Culbertson, AUD
Individual provider Active NPI Audiologist · Hartford, CT
NPI 1992216774 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1992216774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 00580 (CT)
- Practice address
- 282 Washinton Street
Suite 2F
Hartford, CT 06106 - Phone
- (860) 545-9642
- NPI assigned
- Oct 19, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 00580 | CT | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Children'S Specialty Group, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 00580 | CT | Yes |
Addresses
Primary practice location
282 Washinton Street
Suite 2F
Hartford, CT 06106
Mailing address
282 Washington St Ste 2F
Hartford, CT 06106-3322
Phone (848) 545-9642
Other practice location 1
505 Farmington Ave
Farmington, CT 06032-1901
Phone (860) 837-7077
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. 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.