Joslyn, Kelsey Lyn

Joslyn, Kelsey Lyn is an individual health care provider with primary practice located at 1 Wahoo Ave , Groton CT 06349-2324. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Joslyn, Kelsey Lyn can be contacted via phone (860) 694-4966.

Contact Information

Primary practice address
1 Wahoo Ave Groton CT 06349-2324
Phone: (860) 694-4966
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1316296502
LBN Legal business name Joslyn, Kelsey Lyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2012
Last updated Feb 4th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316296502 NPPES
Connecticut MEDICAID 1629599394

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