Individual
KIMBERLY ROY I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 WASHINGTON SQ, NEW BRITAIN, CT 06051-1848
(860) 224-3642
(860) 224-2760
Mailing address
635 MAIN ST, ATTN CREDENTIALING DEPARTMENT, MIDDLETOWN, CT 06457-2718
(860) 347-6971
(860) 638-6601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
069508
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00426346
—
CT
Enumeration date
11/20/2006
Last updated
07/08/2007
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