Individual
KEVIN CHARLES KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
380 MAIN ST, WATERTOWN, CT 06795-2260
(860) 274-8891
Mailing address
380 MAIN ST, WATERTOWN, CT 06795-2260
(860) 274-8891
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12180
CT
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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