Individual provider · Type 1 NPI

Jacquelyn Penta Kilman, APRN

Obstetrics & Gynecology Nurse Practitioner · Hartford, CT

NPI number 1629169149 Active

Practice location

80 Seymour Street, Hartford Hospital Ob/gyn Dept
Hartford, CT 06102-5037

Mailing address

P.o. Box 415933, Hartford Hospital Professional Services
Boston, MA 02241-5933

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001X002762 (CT)

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

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About NPI 1629169149

Jacquelyn Penta Kilman, APRN's National Provider Identifier is 1629169149, issued on Sep 28, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Hartford, CT. The record was last updated on May 21, 2012.