Individual
ROSE KIHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
39 ROUTE 171, WOODSTOCK, CT 06281
(860) 315-1198
(860) 315-1199
Mailing address
PO BOX 922, WOODSTOCK, CT 06281-0922
(860) 315-1198
(603) 151-1998
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
004217
CT
363LF0000X
Family Nurse Practitioner
RN264473
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235900
—
CT
Enumeration date
10/29/2009
Last updated
04/06/2020
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