Individual
KRISTINE KELLIHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
85 SEYMOUR ST, SUITE 415, HARTFORD, CT 06106-5501
(860) 246-2071
(860) 677-5029
Mailing address
85 SEYMOUR ST, SUITE 415, HARTFORD, CT 06106-5501
(860) 246-2071
(860) 677-5029
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
48521
CT
2086S0102X
Surgical Critical Care Physician
48521
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061406459
CORVEL
CT
01
—
1689872764
ANTHEM BCBS
CT
Enumeration date
07/10/2007
Last updated
06/21/2011
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