Individual
MRS. KELLY ANNE PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.A.T.C.
Contact information
Practice address
60 MAIN ST, FARMINGTON, CT 06032-2232
(860) 409-3712
(860) 409-3713
Mailing address
14 PORTER RD, FARMINGTON, CT 06032-2221
(860) 409-3712
(860) 409-3713
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000016
CT
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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