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NPI Code Detail

MEDICARE: SARA KINSEL

MEDICARE: SARA KINSEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer2264MA
22255A2300XAthletic TrainerAT2950TX
3246Z00000XOther Specialist/Technologist957CT

General Provider Information

NPI Number : 1508129412
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA KINSEL
Provider Business Mailing Address
First Line : 275 MOUNT CARMEL AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06518-1961
Country : US
Telephone Number : 203-582-7836
Fax Number :
Provider Business Practice Location Address
First Line : 275 MOUNT CARMEL AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06518-1961
Country : US
Telephone Number : 203-582-7836
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2012
Last Update Date : 12/02/2014

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Directions to “ SARA KINSEL ” Practice Location

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