Individual
KIMBERLY A SWEEZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
245 ALVORD PARK RD, TORRINGTON, CT 06790-3493
(860) 482-8539
(860) 482-0258
Mailing address
270 FARMINGTON AVE, STE 102, FARMINGTON, CT 06032-1920
(860) 549-8276
(860) 674-8084
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D400068239
MEDICARE - NGS
CT
Enumeration date
01/26/2010
Last updated
06/20/2017
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