Individual
MS. VIDYA KESAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
114 WOODLAND ST, CANCER CENTER, HARTFORD, CT 06105-1208
(860) 714-5554
(860) 714-8047
Mailing address
114 WOODLAND ST, CANCER CENTER, HARTFORD, CT 06105-1208
(860) 714-5554
(860) 714-8047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
003731
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011074
—
VT
05
—
30343315
—
NH
Enumeration date
10/13/2006
Last updated
03/08/2023
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