Individual
KENNETH CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PARAMEDIC
Contact information
Practice address
109 LAKESIDE AVE, MIDDLETOWN, CT 06457-4153
(203) 231-1855
Mailing address
109 LAKESIDE AVE, MIDDLETOWN, CT 06457-4153
(203) 231-1855
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
3807
CT
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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