Kilman, Jacquelyn Penta
Kilman, Jacquelyn Penta is an individual health care provider with primary practice located at 80 Seymour Street Hartford Hospital Ob/Gyn Dept, Hartford CT 06102-5037. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kilman, Jacquelyn Penta can be contacted via phone (860) 972-2780.Contact Information
Primary practice address
80 Seymour Street Hartford Hospital Ob/Gyn Dept
Hartford CT 06102-5037
Phone: (860) 972-2780
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 002762 | Connecticut |
Profile Details
| NPI number | 1629169149 |
|---|---|
| LBN Legal business name | Kilman, Jacquelyn Penta |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | May 21st, 2012 - about 13 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 | 1629169149 | NPPES |
| Connecticut | MEDICAID | 004249042 |
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