Individual
MISS KATHLEEN LOUISE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
555 WILLARD AVE, 2W, NEWINGTON, CT 06111-2631
(860) 883-7944
(860) 878-6711
Mailing address
555 WILLARD AVE, 2W, NEWINGTON, CT 06111-2631
(860) 883-7944
(860) 878-6711
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
001645
CT
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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