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Individual

KELLIE ANN HALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
374 GRAND AVE, NEW HAVEN, CT 06513-3733
(203) 777-7411
Mailing address
374 GRAND AVE, NEW HAVEN, CT 06513-3733
(203) 777-7411

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11923
CT
363LA2200X
Adult Health Nurse Practitioner
309101
NY
363LP2300X
Primary Care Nurse Practitioner
309101
NY

Other

Enumeration date
05/28/2019
Last updated
01/20/2026
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