KELLEY LARSON ETHERIDGE

HARTFORD, CT
NPI1821574310
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CT  7675)
Enumeration Date2018-07-17
Last Update Date2018-07-17
Business Address
Dr. KELLEY LARSON ETHERIDGE APRN/CRNA
114 WOODLAND ST
HARTFORD, CT 06105-1208
Phone number: 860-714-4000
Mailing Address
Dr. KELLEY LARSON ETHERIDGE APRN/CRNA
88 BLACK WALNUT DR
DURHAM, CT 06422-1400
Phone number: 860-575-2052
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