NPI 1518640648

Kimberly O'Halloran

Practitioner Driver Bolton, CT

Practice location

Address: 255 Hopriver Rd, Bolton, CT 06043-7411
Phone: (860) 268-9318

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 3789 (CT)

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Registry record

NPI: 1518640648
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Aug 2023
Record last updated: 7 Aug 2023

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.