Individual
LILLY KEMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5520 PARK AVE # WP1-200, TRUMBULL, CT 06611-3463
(203) 666-3750
Mailing address
665 COMMERCE DR APT 324, FAIRFIELD, CT 06825-5568
(732) 859-8193
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
155744
CT
363LF0000X
Family Nurse Practitioner
Primary
12273
CT
Other
Enumeration date
05/06/2021
Last updated
08/29/2023
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