KELLY M DEFOREST

HARTFORD, CT
NPI1831149780
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: CT  003156)
Additional Taxonomies163W00000X Registered Nurse
(Licence: CT  063305)
Enumeration Date2006-05-11
Last Update Date2008-03-03
Business Address
-- KELLY M DEFOREST APRN
80 SEYMOUR STREET HARTFORD HOSPITAL SURGERY DEPT
HARTFORD, CT 06102
Phone number: 860-545-2840
Mailing Address
-- KELLY M DEFOREST APRN
POB 40,000 DEPT 634 HARTFORD HOSPITAL PROFESSIONAL SERVICES
HARTFORD, CT 06151-0634
Phone number: 860-545-7602