Individual
MRS. KRISTIN ROSE KINSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
96 ROUTE 37, NEW FAIRFIELD, CT 06812
(203) 312-0211
Mailing address
6 QUAIL HOLLOW LN, SANDY HOOK, CT 06482-1284
(203) 364-9685
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006745
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006754
CAQH NUMBER 11220113
CT
Enumeration date
04/22/2014
Last updated
04/22/2014
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