Individual
KAYLA MUKDAPRAKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 GRAND ST, HARTFORD, CT 06106-1541
(860) 550-7500
Mailing address
21 MCLEAN ST, HARTFORD, CT 06114-2626
(203) 565-4575
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10523
CT
Other
Enumeration date
04/26/2022
Last updated
09/27/2022
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