Individual
KIMBERLY DAWN SELZNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-6000
Mailing address
15 LAKE ST, HAMDEN, CT 06517-2316
(707) 499-2605
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
153285
CT
367A00000X
Advanced Practice Midwife
Primary
480
CT
Other
Enumeration date
09/24/2019
Last updated
03/06/2024
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