Organization
KE HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN A ENNIS APRN, DNPC (MANAGEING MEMBER)
(203) 869-2225
Entity
Organization
Contact information
Practice address
880 NORTH AVE STE 10, BRIDGEPORT, CT 06606-5709
(203) 540-5722
(203) 540-5722
Mailing address
30 ORCHARD ST, COS COB, CT 06807-2403
(203) 869-2225
(203) 869-4421
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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