Individual
KRISTINE WELSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
982 E MAIN ST, BRIDGEPORT, CT 06608-1913
(203) 579-5000
Mailing address
982 E MAIN ST, BRIDGEPORT, CT 06608-1913
(203) 579-5000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
7538
CT
363AM0700X
Medical Physician Assistant
Primary
3153
CT
Other
Enumeration date
04/17/2008
Last updated
01/12/2017
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