Individual
JENNIFER KETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3202
(203) 688-4748
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3202
(203) 688-4748
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6973
CT
Other
Enumeration date
09/10/2024
Last updated
02/11/2025
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