Individual
ODIN KUIPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 WEST AVON RD, AVON, CT 06001
(860) 673-4670
(860) 675-3422
Mailing address
20 W AVON RD, AVON, CT 06001
(860) 673-4670
(860) 673-4584
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
038124
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001381243
—
CT
Enumeration date
09/28/2006
Last updated
10/19/2011
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