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Kimberly J Lane, APRN
Psychiatric/Mental Health Nurse Practitioner in Putnam, Connecticut
NPI 1093765232

Kimberly J Lane is a Psychiatric/Mental Health Nurse Practitioner based in Putnam, CT and is specialized in Psychiatric/Mental Health. Kimberly J Lane practices in Putnam, CT and has the professional credentials of APRN. The NPI Number for Kimberly J Lane is 1093765232 and holds a License No. 000708 (Connecticut).

The current practice location address for Kimberly J Lane is 320 Pomfret St, Putnam, CT and can be reached out via phone at 860-928-6541 and via fax at 860-963-6393.

Location: 320 Pomfret St, Putnam, CT, 06260-1836
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Provider Profile Details
NPI Number
1093765232
Provider Name
Kimberly J Lane
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
320 Pomfret St, Putnam, CT, 06260-1836
Phone Number
860-928-6541
Fax Number
860-963-6393
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4007084 05 CT
000708 01 CT APRN LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
320 Pomfret St
City
State
Zip
06260-1836
Phone Number
860-928-6541
Fax Number
860-963-6393
person
Provider Business Mailing Address Details
Address
320 Pomfret St
City
State
Zip
06260-1836
Phone Number
860-928-6541
Fax Number
860-963-6393
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
000708 (Connecticut)
Definition
Definition to come...
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