Individual
DR. RENEE S KOHANSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11 MAIN ST, MYSTIC, CT 06355
(860) 334-4576
(855) 800-6850
Mailing address
11 MAIN ST, MYSTIC, CT 06355-3654
(860) 334-4576
(855) 800-6850
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
038625
CT
2084P0800X
Psychiatry Physician
Primary
038625
CT
Other
Enumeration date
05/14/2007
Last updated
08/26/2018
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