Individual
KELLY ANN HARKINS-SQUITIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
64 NOD HILL RD, WILTON, CT 06897-1712
(203) 767-1671
Mailing address
64 NOD HILL RD, WILTON, CT 06897-1712
(203) 767-1671
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
038533
CT
2085R0202X
Diagnostic Radiology Physician
213693-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001385336
—
CT
Enumeration date
05/05/2006
Last updated
07/13/2023
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