Individual
KAUSAR KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 HARTFORD TPKE, VERNON, CT 06066-5037
(860) 878-7314
Mailing address
520 HARTFORD TPKE, VERNON, CT 06066-5037
(860) 878-7314
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9856
CT
Other
Enumeration date
08/10/2021
Last updated
08/11/2021
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