Individual
DR. KATHLEEN THERESA POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.AC.
Contact information
Practice address
2440 GOLD STAR HWY UNIT 101, MYSTIC, CT 06355-1180
(860) 448-6766
Mailing address
167 BROAD ST, GROTON, CT 06340-3644
(860) 448-6766
(860) 449-6754
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
12
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACT0012
HEALTHNET LANDMARK
CT
Enumeration date
01/17/2007
Last updated
02/04/2024
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