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Individual

GERALDINE M. KEARNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
396 DANBURY RD, WILTON, CT 06897-2024
(203) 762-5623
(203) 762-9344
Mailing address
27 DANBURY RD, WILTON, CT 06897-4405
(203) 761-9710
(203) 762-1349

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4412
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2V8285
HEALTHNET
CT
01
ANC1306
OXFORD
CT
Enumeration date
07/19/2006
Last updated
05/19/2008
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