Individual
TAYLOR KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
400 MAIN ST, ANSONIA, CT 06401-2330
(203) 735-9536
Mailing address
400 MAIN ST, ANSONIA, CT 06401-2330
(203) 735-9536
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
13548
CT
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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