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Individual

CAROL KAGDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
227 WAKEMAN RD, FAIRFIELD, CT 06824-5121
(410) 271-9526
Mailing address
227 WAKEMAN RD, FAIRFIELD, CT 06824-5121
(410) 271-9526

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R139553
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6917020 00
MD
Enumeration date
08/30/2005
Last updated
12/23/2009
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