Individual
MARIAN KELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
345 N MAIN ST, SUITE 201, WEST HARTFORD, CT 06117-2515
(860) 231-2476
(860) 231-2480
Mailing address
345 N MAIN ST, SUITE 201, WEST HARTFORD, CT 06117-2515
(860) 231-2476
(860) 231-2480
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
025220
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001252204
—
CT
Enumeration date
08/22/2006
Last updated
01/31/2013
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