Basic Information
| Provider Information | |||||||||
| NPI: | 1568754174 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SIKORA | ||||||||
| FirstName: | KELLEN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 101 CUMBERLAND ST | ||||||||
| Address2: | |||||||||
| City: | HARTFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 061064211 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8473022676 | ||||||||
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| Practice Location | |||||||||
| Address1: | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE | ||||||||
| Address2: | 263 FARMINGTON AVE. | ||||||||
| City: | FARMINGTON | ||||||||
| State: | CT | ||||||||
| PostalCode: | 060300001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8606792147 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/15/2011 | ||||||||
| LastUpdateDate: | 10/14/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 53928 | CT | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.