Provider Demographics
NPI:1821578535
Name:KILIC, CENNET (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CENNET
Middle Name:
Last Name:KILIC
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 NEW HARTFORD RD
Mailing Address - Street 2:
Mailing Address - City:WINSTED
Mailing Address - State:CT
Mailing Address - Zip Code:06098-3373
Mailing Address - Country:US
Mailing Address - Phone:860-738-2707
Mailing Address - Fax:
Practice Address - Street 1:200 NEW HARTFORD RD
Practice Address - Street 2:
Practice Address - City:WINSTED
Practice Address - State:CT
Practice Address - Zip Code:06098-3373
Practice Address - Country:US
Practice Address - Phone:860-738-2707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2023-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC32554183500000X
CTPCT.0014634183500000X
MAPH238176183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist