NPI 1245761642 · live from the CMS NPI Registry
Kristine Faulknham Birdsall, M.D.
Family Medicine in Wethersfield, CT. National Provider Identifier 1245761642, active.
NPI record
| NPI | 1245761642 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1025 Silas Deane Hwy, Wethersfield, CT 06109 |
| Practice phone | 860-696-2400 |
| Enumerated | March 27, 2017 |
| Last updated | December 31, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 69016 (CT) |
| Family Medicine | 207Q00000X | 303175 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.