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Tara Kelly
NPI 1992371504 · on the registry since 2021
Practice
- Address
- 4 Broadway Avenue Ext Ste 3
Mystic, CT 06355 - Phone
- (860) 980-3233
- Organisation at this address
- Familywise, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 18
Additional practice sites
- 336 Halls Hill Rd, Colchester, CT
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-03
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