Jacquelyn Penta Kilman in Hartford - Obstetrics & Gynecology

Jacquelyn Penta Kilman - NPI 1629169149

Jacquelyn Penta Kilman is a Obstetrics & Gynecology in Hartford, Connecticut. Jacquelyn Penta Kilman practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Jacquelyn Penta Kilman is 1629169149. The last update date is 2012-05-21.

Jacquelyn Penta Kilman's current location address is 80 Seymour Street, Hartford, Connecticut. You can contact this provider via phone number 8609722780. The mailing address for Jacquelyn Penta Kilman is 80 Seymour Street, Hartford, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacquelyn Penta Kilman
Address 80 Seymour Street, Hartford, Connecticut
Phone Number 8609722780
Fax Number
Sole Proprietor N
Credentials APRN

NPI Number Detail

NPI Number 1629169149
Provider Enumeration Date 2006-09-28
Last Updated Date 2012-05-21

Provider Mailing Address Detail

Address 80 Seymour Street
City Hartford
State Connecticut (CT)
Post Code 61025037
Phone Number 8609722780
Fax Number

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 363Lx0001X
Licence No 2762
Definition:
An advanced practice registered nurse expert in healthcare services related to the female reproductive system across the lifespan.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4249042 CT --

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FAQs about Jacquelyn Penta Kilman

What is the unique provider identifier assigned to Jacquelyn Penta Kilman?

The Jacquelyn Penta Kilman has been issued the NPI (National Provider Identifier) 1629169149 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Jacquelyn Penta Kilman is physically located?

The Jacquelyn Penta Kilman is physically situated at the following address: 80 Seymour Street, Hartford, CT, 61025037.

What is the area of specialization for Jacquelyn Penta Kilman, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jacquelyn Penta Kilman is Obstetrics & Gynecology, and the corresponding taxonomy code that categorizes this area of expertise is 363Lx0001X.

On what date did the Jacquelyn Penta Kilman receive the assignment of its 1629169149 from the Centers for Medicare & Medicaid Services?

The Jacquelyn Penta Kilman was issued its 1629169149 by the Centers for Medicare & Medicaid Services on 2006-09-28.

As of what date were the Jacquelyn Penta Kilman's details last updated?

The information pertaining to the Jacquelyn Penta Kilman, including its address, specialty, and other details, was most recently updated on 2012-05-21.

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