Individual
KENT J KILBOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
148 EAST AVE, SUITE 3D, NORWALK, CT 06851-5721
(203) 853-0003
Mailing address
85 SEYMOUR ST, STE 1003, HARTFORD, CT 06106-5529
(203) 853-0003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00902
CT
Other
Enumeration date
07/12/2006
Last updated
09/04/2019
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