Individual
KIM CARBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 FENN RD, NEWINGTON, CT 06111-2212
(860) 667-9292
Mailing address
44 FENN RD, NEWINGTON, CT 06111-2212
(860) 667-9292
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
008665
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8605613620
PHONE
CT
Enumeration date
06/14/2018
Last updated
06/16/2018
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