Individual
KENNETH PASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1680 ALBANY AVE, HARTFORD, CT 06105-1001
(860) 236-4511
(860) 296-1071
Mailing address
1680 ALBANY AVE, HARTFORD, CT 06105-1001
(860) 236-4511
(860) 296-1071
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
E53156
CT
Other
Enumeration date
10/11/2011
Last updated
09/30/2013
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