Individual
KELI D SAMUELSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
87 BERNIE OROURKE DR, MIDDLETOWN, CT 06457-2510
(860) 347-8600
(860) 347-8434
Mailing address
87 BERNIE OROURKE DR, MIDDLETOWN, CT 06457-2510
(860) 347-8600
(860) 347-8434
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
000145
CT
Other
Enumeration date
09/21/2005
Last updated
07/08/2007
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