# KILLINGLY MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609306539
- **Authorized official:** DR. YOGESH K KATECHIA MD (OFFICER)
- **Authorized official phone:** (860) 204-0883

## Contact information

- **Practice address:** 545 HARTFORD PIKE, DAYVILLE, CT 06241-2150
- **Practice address phone:** (860) 204-0883
- **Mailing address:** 2 LATHROP AVE, NORWICH, CT 06360-2340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/13/2017
- **Last updated:** 10/14/2019