Individual
KIMBERLY A RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1260 SILAS DEANE HWY, WETHERSFIELD, CT 06109
(860) 246-6647
(860) 571-6804
Mailing address
1260 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4362
(860) 246-6647
(860) 571-6804
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
004581
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
004581
CT
Other
Enumeration date
01/18/2011
Last updated
05/16/2018
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