Individual
STEPHEN KIVLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
14 JONES HOLLOW RD, MARLBOROUGH, CT 06447-1448
(860) 295-8217
Mailing address
14 JONES HOLLOW RD, MARLBOROUGH, CT 06447-1448
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7965
CT
Other
Enumeration date
11/09/2018
Last updated
11/16/2018
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