Individual provider · Type 1 NPI

Nicole Kellner

Student in an Organized Health Care Education/Training Program · Cheshire, CT

NPI number 1164930244 Active

Practice location

382 S Main St
Cheshire, CT 06410-1379

Mailing address

995 Day Hill Rd
Windsor, CT 06095-1722

Other practice locations

  • 444 Center St, Manchester, CT 06040-3926 · (860) 646-3888

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1164930244

Nicole Kellner's National Provider Identifier is 1164930244, issued on Jan 11, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cheshire, CT. The record was last updated on Feb 2, 2024.