Individual
AUDREY KINNEAR OWEIMRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
342 N MAIN ST STE 350, WEST HARTFORD, CT 06117-2530
(860) 296-4022
Mailing address
342 N MAIN ST STE 350, WEST HARTFORD, CT 06117-2530
(860) 296-4022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6432
CT
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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