Individual
KAITLIN ELIZABETH KORNGIEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
22 WINDSOR AVE, VERNON ROCKVILLE, CT 06066-2439
(860) 870-6765
Mailing address
200 REGAN RD APT 33B, VERNON ROCKVILLE, CT 06066-2843
(860) 816-5550
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15742
CT
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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