Individual
KARITA E KACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, MS, APRN
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-4131
(860) 679-2000
Mailing address
99 E RIVER DR FL 5, EAST HARTFORD, CT 06108-7301
(860) 282-4104
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
002196
CT
Other
Enumeration date
03/12/2006
Last updated
06/28/2024
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