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NPI Code Detail

MEDICARE: KERRI A MCQUILLAN PT

MEDICARE: KERRI A MCQUILLAN PT
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
1225100000XPhysical Therapist006045CT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
7401956OTHERCTWELLCARE MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
27257930OTHERCTAETNA
39491004OTHERCTMULTIPLAN
4810899577OTHERCTPHCS
5080006045CT02OTHERCTBCBS, BCFP, MEDIBLUE
62V9634OTHERCTHEALTH NET

General Provider Information

NPI Number : 1740229715
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRI A MCQUILLAN PT
Provider Business Mailing Address
First Line : 300 KENSINGTON AVE
Second Line :
City : NEW BRITAIN
State : CT
Zip : 06051-3916
Country : US
Telephone Number : 860-224-6231
Fax Number : 860-224-6260
Provider Business Practice Location Address
First Line : 655 MAIN ST S
Second Line :
City : SOUTHBURY
State : CT
Zip : 06488-4220
Country : US
Telephone Number : 877-407-3422
Fax Number : 877-407-4329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 04/29/2025

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Directions to “ KERRI A MCQUILLAN PT” Practice Location

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