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Individual

MS. KELLY MORGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
184 FRONT AVE, WEST HAVEN, CT 06516-2836
(203) 781-4600
(203) 781-4624
Mailing address
1 LONG WHARF DR, SUITE 321, NEW HAVEN, CT 06511-5991
(203) 781-4600
(203) 781-4624

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
030853
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008068631
CT
05
008068669
CT
Enumeration date
08/05/2013
Last updated
01/23/2017
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