Kalyn Bard
Individual provider Active NPI Pharmacist · Stratford, CT
NPI 1922416726 · NPPES record last updated Jul 24, 2014
Key facts
- NPI
- 1922416726
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0012756 (CT)
- Practice address
- 3680 Main St
Stratford, CT 06614-4102 - Phone
- (203) 377-8065
- NPI assigned
- Jul 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0012756 | CT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0012756 | CT | Yes |
Addresses
Primary practice location
3680 Main St
Stratford, CT 06614-4102
Mailing address
105 Plymouth St
Stratford, CT 06614-4137
Phone (203) 916-7397
Other providers in Stratford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.