Individual
KRISTEN L. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
JOHN DEMPSEY HOSPITAL, 263 FARMINGTON AVENUE, MC-2948, FARMINGTON, CT 06030-0001
(860) 679-4064
Mailing address
JOHN DEMPSEY HOSPITAL, 263 FARMINGTON AVENUE, MC-2948, FARMINGTON, CT 06030-0001
(860) 679-4064
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001138
CT
363AM0700X
Medical Physician Assistant
Primary
001138
CT
Other
Enumeration date
12/28/2006
Last updated
09/15/2022
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