Holly R Kinnell-Rust, FNP
Nurse Practitioner, Family in Putnam, Connecticut
1932287893- Practice location
- 320 Pomfret St, Putnam, CT 06260-1836
- Phone
- 860-963-6371
- Fax
- 860-963-6413
- Last updated
- July 15, 2019
Holly Roxanne Kinnell-Rust is a Nurse Practitioner, Family based in Putnam, CT. Holly Roxanne Kinnell-Rust practices in Putnam, CT and has the professional credentials of FNP. The NPI Number for Holly Roxanne Kinnell-Rust is 1932287893 and holds a License No. 191964 (MA). The current practice location address for Holly Roxanne Kinnell-Rust is 320 Pomfret St, Putnam, CT 06260-1836 and can be reached out via phone at 860-963-6371 and via fax at 860-963-6413.
Provider Profile Details
- NPI Number
- 1932287893
- Provider Name
- Holly Roxanne Kinnell-Rust
- Credential
- FNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 320 Pomfret St, Putnam, CT 06260-1836
- Phone Number
- 860-963-6371
- Fax Number
- 860-963-6413
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 1, 2006
- Last Update Date
- July 15, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 320 Pomfret St
Putnam, CT 06260-1836 - City
- Putnam
- State
- Connecticut
- Zip
- 06260-1836
- Phone Number
- 860-963-6371
- Fax Number
- 860-963-6413
Provider Business Mailing Address Details
- Address
- 320 Pomfret St
Putnam, CT 06260-1836 - City
- Putnam
- State
- CT
- Zip
- 06260-1836
- Phone Number
- 860-963-6371
- Fax Number
- 860-963-6413
License Information
- License Number (1)
- 191964
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner · 363L00000X
- License Number (2)
- 2010026851
- License State (2)
- MO
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X
- License Number (3)
- 7023
- License State (3)
- CT
- Taxonomy (3)
- Nurse Practitioner, Family · 363LF0000X · 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 Holly R Kinnell-Rust, FNP?
The NPI number of Holly R Kinnell-Rust, FNP is 1932287893. It was assigned on November 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Holly R Kinnell-Rust, FNP?
Holly R Kinnell-Rust, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number 191964.
Where does Holly R Kinnell-Rust, FNP practice?
The practice location is 320 Pomfret St, Putnam, CT 06260-1836. The office can be reached at 860-963-6371 (phone) or 860-963-6413 (fax).
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 1932287893 directly on the NPPES registry website.