Individual
KIMBERLY MANCINELLI-HOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
43 CRANE RD, ELLINGTON, CT 06029-2004
(413) 427-2526
Mailing address
43 CRANE RD, ELLINGTON, CT 06029-2004
(413) 427-2526
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14149
CT
Other
Enumeration date
11/16/2024
Last updated
11/16/2024
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