Provider Demographics
NPI:1912017989
Name:HOHMANN, KIRSTEN B (MD)
Entity Type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:B
Last Name:HOHMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:36 GROVE ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:NEW CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06840-5329
Mailing Address - Country:US
Mailing Address - Phone:203-966-6305
Mailing Address - Fax:203-966-4618
Practice Address - Street 1:36 GROVE ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:NEW CANAAN
Practice Address - State:CT
Practice Address - Zip Code:06840-5329
Practice Address - Country:US
Practice Address - Phone:203-966-6305
Practice Address - Fax:203-966-4618
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT046393207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G47986Medicare UPIN
WA8638HOOtherBLUE SHIELD
G47986Medicare UPIN
CTD400001128Medicare PIN
WA8859663Medicare PIN