Individual
KATHLEEN M DEMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
612 HARTFORD PIKE, DAYVILLE, CT 06241-2159
(860) 779-6068
(860) 779-7597
Mailing address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 928-6541
(860) 963-6091
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
000632
CT
363LG0600X
Gerontology Nurse Practitioner
Primary
000632
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004999504
—
CT
Enumeration date
02/27/2006
Last updated
01/23/2014
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