Individual
KINNERI KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
79 WAWECUS ST STE 105, NORWICH, CT 06360
(860) 886-0161
Mailing address
79 WAWECUS ST STE 105, NORWICH, CT 06360-2173
(860) 886-0161
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
61332
CT
Other
Enumeration date
04/18/2014
Last updated
08/11/2018
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