Provider Information for 1801002399
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KATHERINE COYNER MD
Sex: Female
NPI: 1801002399
Last Updated: 2022-09-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1801002399 | ||||||||||||||||||||
| Enumeration Date | 2007-05-14 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 263 FARMINGTON AVE FARMINGTON, CT 06030-0001 United States Phone: 860-679-6600 | Fax:860-679-6649 | ||||||||||||||||||||
| Primary Practice Address | 263 FARMINGTON AVE FARMINGTON, CT 06030-0001 United States Phone: 860-679-6600 | Fax:860-679-6649 | ||||||||||||||||||||
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