Individual provider · Type 1 NPI

Kolu Elena Wynne, MD

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

NPI number 1831891191 Active

Practice location

56 Franklin St Ste 1
Waterbury, CT 06706-1281

Call (203) 709-8685 Map

Mailing address

5 Talcott Forest Rd Apt O
Farmington, CT 06032-3569

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 1831891191

Kolu Elena Wynne, MD's National Provider Identifier is 1831891191, issued on Mar 20, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Waterbury, CT. The record was last updated on Mar 20, 2023.