Individual provider · Type 1 NPI
Kayla Mukdaprakorn
Family Nurse Practitioner · Hartford, CT
NPI number
1124762901
Active
Practice location
21 Grand St
Hartford, CT 06106-1541
Mailing address
21 Mclean St
Hartford, CT 06114-2626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 10523 (CT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1124762901
Kayla Mukdaprakorn's National Provider Identifier is 1124762901, issued on Apr 26, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hartford, CT. The record was last updated on Sep 27, 2022.