Individual
DANIEL ADAM KILHEFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUBIDC
Contact information
Practice address
1 WAHOO AVE BLDG 449, BOX 600, NAVAL SUBMARINE BASE NEW LONDON, GROTON, CT 06349-2324
(860) 514-1905
Mailing address
100 BURNINGTREE DR, GROTON, CT 06340-3100
(860) 514-1905
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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