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Individual

KIM C FLETCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
675 S MAIN ST, CHESHIRE, CT 06410-3153
(203) 272-1811
Mailing address
675 S MAIN ST, CHESHIRE, CT 06410-3153
(203) 250-2125
(203) 250-2162

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
028006
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001280065
CT
01
010028006CT01
ANTHEM BLUE CROSS & BLUE SHEILD OF CT
CT
01
028006
CONNECTCARE
01
0740884
UNITED HEALTHCARE
01
0813379002
CIGNA
01
0Q0164
HEALTHNET
01
1600000618
MEDICARE
CT
01
160007538
MEDICARE RAILROAD
CT
01
2017507
AETNA
CT
01
NHP096
OXFORD HEALTHPLAN
Enumeration date
06/28/2005
Last updated
07/30/2010
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