location
search-icon
institution
Kids Station Pediatrics
Pediatric Nurse Practitioner in Manchester, Connecticut
NPI 1417153677

Kids Station Pediatrics is a Pediatric Nurse Practitioner based in Manchester, CT and is specialized in Pediatrics. Kids Station Pediatrics practices in Manchester, CT. The NPI Number for Kids Station Pediatrics is 1417153677 and holds a License No. (Connecticut).

The current practice location address for Kids Station Pediatrics is 191 Main St, Manchester, CT and can be reached out via phone at 860-643-7973 and via fax at 860-643-0175.

Location: 191 Main St, Manchester, CT, 06042-3556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417153677
Provider Name
Kids Station Pediatrics
Credential
Provider Entity Type
Organization
Address
191 Main St, Manchester, CT, 06042-3556
Phone Number
860-643-7973
Fax Number
860-643-0175
Provider Enumeration Date
06/25/2007
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
004132651 05 CT
institution
Provider Business Practice Location Address Details
Address
191 Main St
City
Manchester
State
Connecticut
Zip
06042-3556
Phone Number
860-643-7973
Fax Number
860-643-0175
person
Provider Business Mailing Address Details
Address
191 Main St
City
Manchester
State
Connecticut
Zip
06042-3556
Phone Number
860-643-7973
Fax Number
860-643-0175
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
(Connecticut)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
()
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.