Provider Demographics
NPI:1033219639
Name:MUELLER, KATHLEEN NUGENT (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:NUGENT
Last Name:MUELLER
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:61 BLOOMFIELD AVE
Mailing Address - Street 2:HOLISTIC HEALTH PARTNERING
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095-1915
Mailing Address - Country:US
Mailing Address - Phone:860-683-0068
Mailing Address - Fax:860-683-1883
Practice Address - Street 1:61 BLOOMFIELD AVE
Practice Address - Street 2:HOLISTIC HEALTH PARTNERING
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095-1915
Practice Address - Country:US
Practice Address - Phone:860-683-0068
Practice Address - Fax:860-683-1883
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-23
Last Update Date:2021-11-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT035943207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine