Individual
DR. KEVIN C. KREBSBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 FARMINGTON AVE, SUITE 3RD FLOOR, WEST HARTFORD, CT 06119-1418
(860) 586-2111
(860) 586-2114
Mailing address
901 FARMINGTON AVE, SUITE 3RD FLOOR, WEST HARTFORD, CT 06119-1418
(860) 586-2111
(860) 586-2114
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036437
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001364372
—
CT
Enumeration date
01/27/2006
Last updated
10/12/2013
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