Individual
LINTON KINLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
130 POPLAR ST, BRIDGEPORT, CT 06605-1925
(203) 536-8533
Mailing address
130 POPLAR ST, BRIDGEPORT, CT 06605-1925
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8322
CT
Other
Enumeration date
06/25/2019
Last updated
02/17/2022
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