Search › Connecticut › 235Z00000X
Kaelyn Bonaventura
NPI 1205610599 · on the registry since 2023 · sole proprietor
Practice
- Address
- 120 Old Coach Ln
Stratford, CT 06614 - Phone
- (203) 522-0646
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut