Individual
KELLY HO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 SHAWS CV, NEW LONDON, CT 06320-4902
(860) 447-8304
Mailing address
45 COBBLESTONE DR, GROTON, CT 06340-3855
(860) 294-1413
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
195772
CT
363LF0000X
Family Nurse Practitioner
Primary
15062
CT
Other
Enumeration date
05/27/2025
Last updated
07/14/2025
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