Individual
DR. CAITLYN KENNEDY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
87 GRANDVIEW AVE, WATERBURY, CT 06708-2514
(203) 574-2020
(203) 465-1481
Mailing address
69 BUCK HILL RD, RIDGEFIELD, CT 06877-2702
(845) 216-1195
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3251
CT
152W00000X
Optometrist
TUV007835
NY
152WC0802X
Corneal and Contact Management Optometrist
TUV007835-1
NY
Other
Enumeration date
06/28/2012
Last updated
07/20/2022
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