Individual
KRISTIE KATKAVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1120 MAIN ST, WILLIMANTIC, CT 06226-2014
(860) 423-2111
(860) 423-7559
Mailing address
1120 MAIN ST, WILLIMANTIC, CT 06226-2014
(860) 423-2111
(860) 423-7559
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002698
CT
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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