Individual
KELLY ROSE KRONEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
54A FAIRFIELD DR, NEW FAIRFIELD, CT 06812-4427
(203) 997-6643
Mailing address
54A FAIRFIELD DR, NEW FAIRFIELD, CT 06812-4427
(203) 997-6643
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
Z4C2G3F7
CT
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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