Individual
COREY KYLE MALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
392 STATE ST APT 8K, NORTH HAVEN, CT 06473-3140
(860) 977-2450
Mailing address
119 FOREST HILL RD, NORTH HAVEN, CT 06473-4301
(860) 977-2450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11403
CT
Other
Enumeration date
01/20/2023
Last updated
10/31/2024
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