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Contact Information

KIARA M MARMOLEJOS, PA-C
114 E MAIN ST
CLINTON, CT06413-2131
 Phone: 860-664-0787
 Fax: 860-664-1982
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KIARA M MARMOLEJOS · (Female)

NPI Number 1417714999
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/01/2024
Last updated 11/21/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 23.006497
  • CT License # 6497
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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