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Individual

KELLEY MOLLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
677 S MAIN ST, CHESHIRE, CT 06410-3158
(203) 272-2248
Mailing address
677 S MAIN ST, CHESHIRE, CT 06410-3158

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
133802
CT
363LF0000X
Family Nurse Practitioner
Primary
6615
CT

Other

Enumeration date
02/05/2016
Last updated
03/24/2017
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