Individual
DIANE MURPHY-KIVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
11 FARM RD, NEW CANAAN, CT 06840-6626
(203) 594-4613
Mailing address
457 HAVILAND RD, STAMFORD, CT 06903-3337
(203) 968-8769
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000219
CT
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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