Individual
SHANNON HALEY KIRKNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 COPE FARMS RD, FARMINGTON, CT 06032-3153
(860) 810-2373
Mailing address
4 COPE FARMS RD, FARMINGTON, CT 06032-3153
(860) 810-2373
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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