Individual
DR. BEVAN KURTHY HOLLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3000
(203) 384-3000
Mailing address
136 SHERMAN AVE 202, NEW HAVEN, CT 06511-5210
(203) 624-9991
(203) 624-6815
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000924
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/31/2012
Last updated
07/17/2015
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