NPI 1053743625

Daniel Adam Kilhefner, SUBIDC

Practitioner Independent Duty Corpsman Groton, CT

Practice location

Address: 1 Wahoo Ave Bldg 449 Box 600, Naval Submarine Base New London, Groton, CT 06349-2324
Phone: (860) 514-1905
Mailing address: 100 Burningtree Dr, Groton, CT 06340-3100

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1053743625
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Aug 2013
Record last updated: 6 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.