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Individual

CAROLYN ANN KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
11 OSBORNE ST, DANBURY, CT 06810-5918
(203) 739-7131
(203) 739-1554
Mailing address
111 OSBORNE ST, DANBURY, CT 06810-6000
(917) 968-6543

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
005298
CT
363LF0000X
Family Nurse Practitioner
F337508-1
NY

Other

Enumeration date
03/07/2013
Last updated
03/24/2017
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