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Contact Information

VIDYA KESAVAN, ARNP
114 WOODLAND ST
CANCER CENTER
HARTFORD, CT06105-1208
 Phone: 860-714-5554
 Fax: 860-714-8047
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for VIDYA KESAVAN · (Female)

NPI Number 1912097395
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 10/13/2006
Last updated 03/08/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 003731
  • NH Medicaid 30343315
  • VT Medicaid 1011074
Hospital affiliation(s)
  • JOHNSON MEMORIAL HOSPITAL - (Acute Care)
    201 CHESTNUT HILL RD
    STAFFORD SPRINGS, CT 06076
  • ST FRANCIS HOSPITAL & MEDICAL CENTER - (Acute Care)
    114 WOODLAND STREET
    HARTFORD, CT 06105
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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