Individual
KELLY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34 MAPLE ST, NORWALK, CT 06850-3815
(203) 852-2501
Mailing address
128 QUIGLEY RD, WALLINGFORD, CT 06492-5360
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
128102
CT
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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