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Individual

CARMEN KOKKOROS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1171 E PUTNAM AVE STE 2B, RIVERSIDE, CT 06878-1426
(203) 629-5800
Mailing address
148 LAZY BROOK RD, MONROE, CT 06468-3316

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
15418
CT

Other

Enumeration date
10/17/2025
Last updated
10/17/2025
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