Hazel, Kathleen M
Hazel, Kathleen M is an individual health care provider with primary practice located at 80 Seymour Street Hartford Hospital Ob/Gyn Dept, Hartford CT 06102. She recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Hazel, Kathleen M can be contacted via phone (860) 972-2780.Contact Information
Primary practice address
80 Seymour Street Hartford Hospital Ob/Gyn Dept
Hartford CT 06102
Phone: (860) 972-2780
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | F-420766-1 | New York |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | F420766-1 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | F420766-1 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | F-420766-1 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 003737 | Connecticut |
Profile Details
| NPI number | 1619043742 |
|---|---|
| LBN Legal business name | Hazel, Kathleen M |
| Credentials | NP CNM MSN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Jun 19th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619043742 | NPPES |
| New York | MEDICAID | 00362863 | |
| New York | Other | 000379 | |
| New York | Other | 140082 | |
| New York | Other | 16805 | |
| New York | Other | 379 | |
| New York | Other | F-420766-1 | |
| New York | MEDICAID | 02914276 |
Popular Providers
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Sanderson, Karen M
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