Individual
MS. KATHRYN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
355 HIGH STREET, WILLIMANTIC, CT 06226
(860) 465-2465
Mailing address
679 RAYMOND HILL RD, UNCASVILLE, CT 06382
(860) 848-1821
(860) 848-9460
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
CT 000367
CT
2080A0000X
Pediatric Adolescent Medicine Physician
CT 000367
CT
363LP0200X
Pediatric Nurse Practitioner
Primary
000367
CT
Other
Enumeration date
07/31/2006
Last updated
06/09/2015
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