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Contact Information

KELLIE BUCCETTI
80 SEYMOUR ST
HARTFORD, CT06106-3315
 Phone: 203-710-3992
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KELLIE BUCCETTI · (Female)

NPI Number 1114774155
Status Active
Credentials
Entity Individual
Enumeration date 05/06/2024
Last updated 08/15/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CT License # 13699
Hospital affiliation(s) Not Available
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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