Killeen Dwyer, is a
Registered Nurse based in Lebanon, Connecticut. Killeen Dwyer is licensed to practice in Connecticut (license number 93660) and her current practice location is
16 Mcgrath Ln, Lebanon, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 884-9074.
NPI number for Killeen Dwyer is 1851020903 and her current mailing address is 16 Mcgrath Ln, Lebanon, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851020903.
Provider's Profile
| Full Name | Killeen Dwyer |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 16 Mcgrath Ln, Lebanon, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1851020903
- Provider Enumeration Date: 06/06/2022
- Last Update Date: 06/06/2022
Medical Identifiers
Medical identifiers for Killeen Dwyer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851020903 | NPI | - | NPPES |
| 93660 | Other | CT | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 93660 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Killeen Dwyer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Killeen Dwyer,
16 Mcgrath Ln,
Lebanon, CT 06249-2606
Ph: (860) 884-9074 | Killeen Dwyer,
16 Mcgrath Ln,
Lebanon, CT 06249-2606
Ph: (860) 884-9074 |
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