Individual
SUSAN B KOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
481 GOLD STAR HWY, SUITE 100, GROTON, CT 06340-6702
(860) 446-8858
(860) 405-2140
Mailing address
481 GOLD STAR HWY, SUITE 100, GROTON, CT 06340-6702
(860) 446-8858
(860) 405-2140
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
0000067622
TN
363LF0000X
Family Nurse Practitioner
0000005975
TN
363LF0000X
Family Nurse Practitioner
Primary
005447
CT
Other
Enumeration date
02/22/2007
Last updated
06/11/2015
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