Individual
KELLY TAKACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 MAIN STREET, SAINT VINCENTS MEDICAL CENTER, BRIDGEPORT, CT 06606
(203) 929-7353
(203) 929-0756
Mailing address
4 ARMSTRONG ROAD, SHELTON, CT 06484
(203) 929-7353
(203) 929-0756
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
002251
CT
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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