Individual
DR. DAVID A KVAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 RETREAT AVE, SUITE 705, HARTFORD, CT 06106
(860) 278-0070
Mailing address
99 EAST RIVER DRIVE, EAST HARTFORD, CT 06108-3212
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
023909
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001239094
—
CT
Enumeration date
08/19/2005
Last updated
05/25/2010
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