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KATHRYN VITOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 646-1222
Mailing address
251 E. HURON ST., FEINBERG 5-704, CHICAGO, IL 60611-1773

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041418246
IL
163W00000X
Registered Nurse
124479
CT
163W00000X
Registered Nurse
584143
PA
367500000X
Certified Registered Nurse Anesthetist
209011278
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
6066
CT

Other

Enumeration date
01/29/2014
Last updated
01/11/2023
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