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Individual

KERYN J RAUSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
30 LAFAYETTE SQ STE 109, VERNON ROCKVILLE, CT 06066-4554
(800) 391-0599
(980) 825-7196
Mailing address
300 KENSINGTON AVE, NEW BRITAIN, CT 06051-3916
(860) 224-6231
(860) 224-6260

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
000988
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004224846
CT
05
004234796
CT
01
080988
CONNECTICARE ID
CT
01
1255448155
GHMC NPI
CT
01
2V6209
HEALTH NET ID
CT
01
378146
WELLCARE MEDICARE
CT
01
40APRN988CT01
BCFP MEDICAID
CT
Enumeration date
10/12/2006
Last updated
08/21/2025
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