Individual
KELLY LEIGH KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1 WAHOO AVE, GROTON, CT 06349-2324
(860) 694-1133
Mailing address
1 WAHOO AVE, GROTON, CT 06349-2324
(860) 694-1133
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
12234-33
WI
Other
Enumeration date
09/22/2013
Last updated
08/22/2025
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