Individual
KIM D EDGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38 ELDREDGE MILLS RD, WILLINGTON, CT 06279-1301
(860) 487-1632
Mailing address
135 BELLEVUE ST, WILLIMANTIC, CT 06226-2736
(860) 207-4477
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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