Individual
DR. KELLY C. HANRETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB08792600
NJ
207RC0000X
Cardiovascular Disease Physician
269430
NY
207RC0000X
Cardiovascular Disease Physician
Primary
67486
CT
207RC0000X
Cardiovascular Disease Physician
DO01102
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295048502
NPI
NY
Enumeration date
07/15/2010
Last updated
04/15/2026
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