Provider Demographics
NPI:1275241838
Name:FRIED, KAELA DRZEWIECKI (MS, LGC)
Entity Type:Individual
Prefix:
First Name:KAELA
Middle Name:DRZEWIECKI
Last Name:FRIED
Suffix:
Gender:F
Credentials:MS, LGC
Other - Prefix:
Other - First Name:KAELA
Other - Middle Name:SHEPHERD
Other - Last Name:DRZEWIECKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LGC
Mailing Address - Street 1:UCONN HEALTH JOHN DEMPSEY HOSPITAL 263 FARMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06030-0001
Mailing Address - Country:US
Mailing Address - Phone:860-679-1440
Mailing Address - Fax:
Practice Address - Street 1:11 SOUTH RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-2483
Practice Address - Country:US
Practice Address - Phone:860-679-1440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-11
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS