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Kaitlyn Desjardin

Audiologist in Wethersfield, CT. Individual provider (NPI-1).

NPI number1154884047
StatusActive
Last updated in NPPESApr 9, 2019

Details

NPI
1154884047
Entity type
Individual (NPI-1)
Name
Kaitlyn Desjardin
Sex
Female
Sole proprietor
No
Enumeration date
Apr 9, 2019
Last updated
Apr 9, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
231H00000X Audiologist000619CTYes

Practice location

Crec-Soundbridge
123 Progress Drive
Wethersfield, CT 06109-0610

Phone 860-529-4260 · Fax 860-257-8500

Mailing address

Crec-Soundbridge
123 Progress Drive
Wethersfield, CT 06109-2450

Phone 860-529-4260

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Audiologist providers in Wethersfield, CT

All 11 Audiologist providers in Wethersfield · All 640 providers in Wethersfield

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