Individual
MRS. MICHELE CONSTANCE KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
164 LAKE RIDGE RD, SOUTHBURY, CT 06488-4161
(203) 264-9110
(203) 841-1252
Mailing address
164 LAKE RIDGE RD, SOUTHBURY, CT 06488-4161
(203) 264-9110
(203) 841-1252
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
004084
CT
Other
Enumeration date
10/21/2008
Last updated
05/05/2009
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