Individual
KERI ANN KLINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
512 SAYBROOK RD, SUITE 100, MIDDLETOWN, CT 06457-4788
(860) 347-7636
(860) 894-1882
Mailing address
512 SAYBROOK RD, SUITE 100, MIDDLETOWN, CT 06457-4788
(860) 347-7636
(860) 894-1882
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
002695
CT
363AS0400X
Surgical Physician Assistant
Primary
002695
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008037198
—
CT
Enumeration date
12/30/2011
Last updated
07/12/2012
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