Individual
OLEH KUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
20 RESEARCH PKWY, OLD SAYBROOK, CT 06475-4214
(800) 370-3651
(860) 510-0020
Mailing address
20 RESEARCH PKWY, OLD SAYBROOK, CT 06475-4214
(800) 370-3651
(860) 510-0020
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4750
CT
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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