NPI
Katelyn Boutwell
NPI 1285383679
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2022-03-22
- Last updated
- 2025-06-25
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Specialties
Licenses
- License CT
- 002804
Location
- Practice location
- 25 Pendleton Dr
- City
- Hebron CT
- Postal code
- 06248-1579
- Phone
- (860) 228-9488
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Hebron, CT. 109 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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