Search › Connecticut › 163W00000X
Jennifer Koller
NPI 1326745738 · on the registry since 2023
Practice
- Address
- 1310 Main St
Willimantic, CT 06226 - Phone
- (860) 731-5522
- Fax
- (860) 731-5536
- Clinicians at this address
- 101
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-02-15
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