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NPI Code Detail

MEDICARE: CARRIE L KILDUFF

MEDICARE: CARRIE L KILDUFF
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
1225X00000XOccupational Therapist6474CT

General Provider Information

NPI Number : 1417557356
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE L KILDUFF
Provider Business Mailing Address
First Line : 652 W AVON RD
Second Line :
City : AVON
State : CT
Zip : 06001-2906
Country : US
Telephone Number : 860-673-2521
Fax Number :
Provider Business Practice Location Address
First Line : 652 W AVON RD
Second Line :
City : AVON
State : CT
Zip : 06001-2906
Country : US
Telephone Number : 860-673-2521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2020
Last Update Date : 02/06/2026

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Directions to “ CARRIE L KILDUFF ” Practice Location

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