Individual
ANN L KEARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN IBCLC
Contact information
Practice address
76 DYER AVE, COLLINSVILLE, CT 06019-3234
(860) 841-4985
Mailing address
76 DYER AVE, COLLINSVILLE, CT 06019-3234
(860) 841-4985
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
E57025
CT
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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