Provider Demographics
NPI:1750592598
Name:CARON, KELSEY NICOLE IV
Entity type:Individual
Prefix:MISS
First Name:KELSEY
Middle Name:NICOLE
Last Name:CARON
Suffix:IV
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 BROOK ST
Mailing Address - Street 2:APARTMENT 3
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-3281
Mailing Address - Country:US
Mailing Address - Phone:860-917-2392
Mailing Address - Fax:
Practice Address - Street 1:17 93RD ST
Practice Address - Street 2:MONADNOCK FAMILY SERVICES
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3748
Practice Address - Country:US
Practice Address - Phone:603-357-5270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health