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Individual

ROCHELLE G KANELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LNM

Contact information

Practice address
55 LOCK STREET, NEW HAVEN, CT 06520-8237
(203) 432-0076
(203) 432-7289
Mailing address
PO BOX 208237, 55 LOCK STREET, NEW HAVEN, CT 06520-8237
(203) 432-0076
(203) 432-7289

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R33560
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19527
CONTROLLED SSUBSTANCE REG
CT
Enumeration date
06/17/2006
Last updated
04/08/2011
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