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Individual

COLLEEN M KWIATKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4225
(419) 479-6193
Mailing address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4225
(419) 479-6193

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
11258-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2058142
OH
Enumeration date
01/29/2010
Last updated
08/27/2013
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