Individual
KELLY ANN WILBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
500 CHASE PKWY, WATERBURY, CT 06708-3346
(203) 755-6677
Mailing address
500 CHASE PKWY, WATERBURY, CT 06708-3346
(203) 755-6677
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
003628
CT
363LA2200X
Adult Health Nurse Practitioner
003628
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255520219
—
CT
Enumeration date
10/16/2007
Last updated
05/23/2025
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