Individual provider · Type 1 NPI

Kelly Weikert, D.M.D

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

NPI number 1447515598 Active

Practice location

263 Farmington Ave
Farmington, CT 06030-0001

Call (860) 679-2000 Map

Mailing address

47 Avonwood Rd, Apt 218
Avon, CT 06001-2048

Specialties and licenses

TaxonomyCodeLicense
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 1447515598

Kelly Weikert, D.M.D's National Provider Identifier is 1447515598, issued on Jul 5, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on Jul 5, 2012.