Organization
DAY KIMBALL MEDICAL GROUP INC
Active
Parent organization
DAY KIMBALL HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAY KIMBALL HEALTHCARE
Authorized official
ROBERT SMANIK (PRESIDENT & CEO)
(860) 928-6541
Entity
Organization
Contact information
Practice address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 928-6541
(860) 963-6091
Mailing address
320 POMFRET ST, SUITE CSB2, PUTNAM, CT 06260-1836
(860) 928-6541
(860) 963-6091
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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