Individual
AMANDA KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
1668 LITCHFIELD TPKE FL 1, WOODBRIDGE, CT 06525-2306
(203) 415-8436
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
23.00544
CT
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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