Killeen Dwyer
Registered Nurse in Lebanon, Connecticut
1851020903- Practice location
- 16 Mcgrath Ln, Lebanon, CT 06249-2606
- Phone
- 860-884-9074
- Fax
- —
- Last updated
- June 6, 2022
Killeen Dwyer is a Registered Nurse based in Lebanon, CT. Killeen Dwyer practices in Lebanon, CT. The NPI Number for Killeen Dwyer is 1851020903 and holds a License No. 93660 (CT). The current practice location address for Killeen Dwyer is 16 Mcgrath Ln, Lebanon, CT 06249-2606 and can be reached out via phone at 860-884-9074.
Provider Profile Details
- NPI Number
- 1851020903
- Provider Name
- Killeen Dwyer
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 16 Mcgrath Ln, Lebanon, CT 06249-2606
- Phone Number
- 860-884-9074
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 6, 2022
- Last Update Date
- June 6, 2022
- Certification Date
- June 6, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 16 Mcgrath Ln
Lebanon, CT 06249-2606 - City
- Lebanon
- State
- Connecticut
- Zip
- 06249-2606
- Phone Number
- 860-884-9074
Provider Business Mailing Address Details
- Address
- 16 Mcgrath Ln
Lebanon, CT 06249-2606 - City
- Lebanon
- State
- CT
- Zip
- 06249-2606
- Phone Number
- 860-884-9074
License Information
- License Number
- 93660
- License State
- CT
- Taxonomy
- Registered Nurse · 163W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Killeen Dwyer?
The NPI number of Killeen Dwyer is 1851020903. It was assigned on June 6, 2022 and is currently active in the NPPES registry.
What is the specialty of Killeen Dwyer?
Killeen Dwyer is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in CT under license number 93660.
Where does Killeen Dwyer practice?
The practice location is 16 Mcgrath Ln, Lebanon, CT 06249-2606. The office can be reached at 860-884-9074 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851020903 directly on the NPPES registry website.