Individual
KRISTIN S. GILDERSLEEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
23 LIBERTY DR, SUITE A, HEBRON, CT 06248-1553
(860) 228-1119
Mailing address
23 LIBERTY DR, SUITE A, HEBRON, CT 06248-1553
(860) 228-1119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
038237
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001382374
—
CT
Enumeration date
06/07/2006
Last updated
02/29/2012
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