Individual
KELLY MALONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
983 NEW BRITAIN AVE, WEST HARTFORD, CT 06110-2267
(860) 785-5478
Mailing address
72 MAPLE ST APT 301, BRISTOL, CT 06010-5060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4958
CT
Other
Enumeration date
06/13/2020
Last updated
11/23/2020
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