Individual
DR. KEVIN LAMONT COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
19 WOODLAND STREET, SUITE 42, HARTFORD, CT 06105
(860) 249-9336
(860) 247-6897
Mailing address
4 FARM SPRINGS RD, PROHEALTH PHYSICIANS, FARMINGTON, CT 06032-2573
(860) 284-5200
(860) 284-5333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
041836
CT
207QA0505X
Adult Medicine Physician
Primary
041836
CT
Other
Enumeration date
01/26/2006
Last updated
03/17/2014
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