Individual
DR. KEVIN V TRUEBLOOD I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 SILVER STREET, MIDDLETOWN, CT 06457
(860) 262-5880
Mailing address
1000 SILVER STREET, MIDDLETOWN, CT 06457
(860) 262-5880
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042600
CT
Other
Enumeration date
04/10/2007
Last updated
08/14/2007
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