Individual
DR. KENRICK E HOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
538 LITCHFIELD ST, SUITE 103, TORRINGTON, CT 06790-6669
(860) 489-5148
(860) 489-4752
Mailing address
4 FARM SPRINGS RD, PROHEALTH PHYSICIANS, FARMINGTON, CT 06032-2573
(860) 284-5200
(860) 284-5333
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
020683
CT
208M00000X
Hospitalist Physician
Primary
020683
CT
Other
Enumeration date
08/11/2006
Last updated
11/16/2015
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