Organization
ROSE KIHARA NURSE PRACTITIONER LLC
Active
Organization
ROSE KIHARA NURSE PRACTITIONER LLC
Active
Other names
Family Health Care & Walk In Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE KIHARA APRN (APRN)
(860) 315-1198
Entity
Organization
Contact information
Practice address
39 ROUTE 171, WOODSTOCK, CT 06281
(860) 776-0187
Mailing address
PO BOX 922, WOODSTOCK, CT 06281-3044
(860) 315-1198
(860) 315-1199
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008023376
—
CT
Enumeration date
05/03/2018
Last updated
04/03/2020
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