Organization
CT CHILDRENS MEDICAL CENTER/BETANCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN LAURIE KELLIHER PA-C (PEDIATRIC PA)
(860) 525-4640
Entity
Organization
Contact information
Practice address
42 CHARTER OAK AVE, HARTFORD, CT 06106-1909
(860) 525-4640
(860) 525-4650
Mailing address
42 CHARTER OAK AVE, HARTFORD, CT 06106-1909
(860) 525-4640
(860) 525-4650
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
000238
CT
Other
Enumeration date
04/17/2007
Last updated
07/31/2008
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