Individual
KELLEY LYN STURROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 RETREAT AVE, STE 201, HARTFORD, CT 06106-2528
(860) 246-8568
(860) 728-5076
Mailing address
100 RETREAT AVE, STE. 201, HARTFORD, CT 06106-2528
(860) 246-8568
(860) 728-5076
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101236730
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010100615
—
VA
Enumeration date
02/23/2006
Last updated
03/31/2011
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