Stephen Kivlin, NP-C
Nurse Practitioner, Family in Marlborough, CT. Individual provider (NPI-1).
NPI number1982172771
StatusActive
Last updated in NPPESNov 16, 2018
Details
- NPI
- 1982172771
- Entity type
- Individual (NPI-1)
- Name
- Stephen Kivlin
- Credential
- NP-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2018
- Last updated
- Nov 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 7965 | CT | Yes |
Practice location
14 Jones Hollow RdMarlborough, CT 06447-1448
Phone 860-295-8217
Mailing address
14 Jones Hollow RdMarlborough, CT 06447-1448
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