Individual
DR. KELLIE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC, MSN, FNP-C
Contact information
Practice address
6 SHAWS CV, NEW LONDON, CT 06320-4969
(866) 808-7921
Mailing address
6 SHAWS CV, NEW LONDON, CT 06320-4969
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2118
CT
363L00000X
Nurse Practitioner
Primary
9164
CT
363LF0000X
Family Nurse Practitioner
9164
CT
Other
Enumeration date
06/22/2018
Last updated
03/23/2022
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