Individual
ONYINYECHUKWU KANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
851 MARSHALL PHELPS RD, WINDSOR, CT 06095
(860) 683-0756
Mailing address
851 MARSHALL PHELPS RD, WINDSOR, CT 06095-2108
(860) 683-0756
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64014
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2016
Last updated
10/22/2019
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