Individual provider · NPI-1
Dr. Kassem M Khybery, m.d.
Family Medicine · Colchester, CT
NPI number1629007372
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1629007372
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kassem M Khybery
- Credential
- m.d.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 2, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 020506 | CT | Yes |
Practice location
514 Westchester RdColchester, CT 06415-2226
Phone 860-267-2625 · Fax 860-267-0491
Mailing address
514 Westchester RdColchester, CT 06415-2226
Phone 860-267-2625 · Fax 860-267-0491
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