Individual
MRS. KELLY BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4769
(860) 442-0711
Mailing address
203 REUTEMANN RD, NORTH STONINGTON, CT 06359-1315
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11206
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2022
Last updated
12/09/2022
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