Individual
DR. JILL COOPER KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
5520 PARK AVE, TRUMBULL, CT 06611-3463
(781) 507-1319
Mailing address
5520 PARK AVE, TRUMBULL, CT 06611-3463
(781) 507-1319
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
000318
CT
Other
Enumeration date
05/10/2012
Last updated
07/10/2020
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