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Contact Information

DANA U KIVLIN, DO
520 SAYBROOK RD STE 100B
MIDDLETOWN, CT06457-4700
 Phone: 860-347-8850
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Urogynecology and Reconstructive Pelvic Surgery

2088F0040X
Indicates primary specialty

NPI Profile & details for DANA U KIVLIN · (Female)

NPI Number 1679869572
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/20/2011
Last updated 05/01/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 55927
  • CT Medicaid 008076307
Hospital affiliation(s)
  • MIDDLESEX HOSPITAL - (Acute Care)
    28 CRESCENT ST
    MIDDLETOWN, CT 06457
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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