Individual
MRS. KELLY LYNN HENRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
267 GRANT ST, BRIDGEPORT HOSPITAL, DEPARTMENT OF PEDIATRICS, BRIDGEPORT, CT 06610-2805
(203) 384-3520
(203) 384-3891
Mailing address
43 POPLAR ST, TRUMBULL, CT 06611-3047
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
4874
CT
Other
Enumeration date
11/07/2011
Last updated
11/08/2012
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