Individual
CARLA JACOBSON-KIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
114 WOODLAND ST, NICU, HARTFORD, CT 06105-1208
(860) 714-4404
(860) 714-8054
Mailing address
1000 ASYLUM AVE, SUITE 2109A, HARTFORD, CT 06105-1770
(860) 714-6581
(860) 714-8311
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
028314
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001283142
—
CT
Enumeration date
07/12/2005
Last updated
09/13/2022
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