Individual
KRISTINE FAULKNHAM BIRDSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1025 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4223
(860) 696-2400
Mailing address
1025 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4223
(860) 696-2400
(860) 972-7040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
303175
NY
207Q00000X
Family Medicine Physician
Primary
69016
CT
Other
Enumeration date
03/27/2017
Last updated
12/31/2022
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