Haedicke, Kay

Haedicke, Kay is an individual health care provider with primary practice located at 111 Goose Lane Suite 1300, Guilford CT 06437. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Haedicke, Kay can be contacted via phone (203) 453-9192.

Contact Information

Primary practice address
111 Goose Lane Suite 1300 Guilford CT 06437
Fax: (203) 453-0875
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 026723 Connecticut

Profile Details

NPI number 1922047810
LBN Legal business name Haedicke, Kay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jan 30th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922047810 NPPES
Connecticut MEDICAID 001267237

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