MARY G KINAHAN

FARMINGTON, CT
NPI1770589921
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CT  001338)
Enumeration Date2005-06-22
Last Update Date2014-04-14
Business Address
-- MARY G KINAHAN APRN
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-4477
Mailing Address
-- MARY G KINAHAN APRN
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503