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Individual

MICHELLE E KILLINGSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
87 CHURCH ST, SUITE 204, EAST HARTFORD, CT 06108-3720
(888) 607-0047
(888) 690-0088
Mailing address
87 CHURCH ST, SUITE 204, EAST HARTFORD, CT 06108-3720
(888) 607-0047
(888) 690-0088

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
00345
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00345
STATE CNM LICENSE
CT
05
008023951
CT
Enumeration date
09/14/2010
Last updated
02/10/2015
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