Individual
KELLY LINDQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
101 MAIN STREET, UNIONVILLE, CT 06085
(860) 673-6124
(860) 673-3290
Mailing address
101 MAIN STREET, UNIONVILLE, CT 06085
(860) 673-6124
(860) 673-3290
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001518
CT
Other
Enumeration date
07/06/2006
Last updated
06/17/2008
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