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Individual

KELLY EVERLITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, FNP-BC

Contact information

Practice address
46 ALBION ST, BRIDGEPORT, CT 06605-2602
(203) 330-6000
Mailing address
17 ASCOLESE RD, TRUMBULL, CT 06611-2330
(860) 817-5200

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9013
CT

Other

Enumeration date
07/04/2020
Last updated
04/21/2022
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