NPI 1982975686 · live from the CMS NPI Registry
Day Kimball Medical Group INC
Nurse Practitioner in Putnam, CT. National Provider Identifier 1982975686, active.
NPI record
| NPI | 1982975686 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 320 Pomfret St, Putnam, CT 06260 |
| Practice phone | 860-928-6541 |
| Mailing address | 320 Pomfret St, Suite Csb2, Putnam, CT 06260 |
| Enumerated | January 26, 2012 |
| Last updated | January 26, 2012 |
| Authorized official | Robert Smanik, President & Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Adult Health | 363LA2200X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
| Nurse Practitioner, Gerontology | 363LG0600X | — |
| Nurse Practitioner, Pediatrics | 363LP0200X | — |
| Nurse Practitioner, Primary Care | 363LP2300X | — |
| Nurse Practitioner primary | 363L00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.