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NPI Code Detail

MEDICARE: KIMBERLY A BARCLAY APRN

MEDICARE: KIMBERLY A BARCLAY APRN
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
1363L00000XNurse Practitioner002925CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2020925OTHERCTCONNECTICARE
300424681600OTHERCTBC/BS FAMILYPLAN
4C003687OTHERCTCHAMPUS
52V5976OTHERCTHEALTHNET
6400002925CT01OTHERCTBC/BS

General Provider Information

NPI Number : 1417926296
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY A BARCLAY APRN
Provider Business Mailing Address
First Line : 85 TOLLAND GRN
Second Line :
City : TOLLAND
State : CT
Zip : 06084-3040
Country : US
Telephone Number : 860-604-4334
Fax Number :
Provider Business Practice Location Address
First Line : 21 WATERVILLE RD
Second Line :
City : AVON
State : CT
Zip : 06001-2097
Country : US
Telephone Number : 860-488-5594
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2006
Last Update Date : 01/29/2025

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Directions to “ KIMBERLY A BARCLAY APRN” Practice Location

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