Individual
DR. KEVIN JAMES MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-2212
(860) 679-7503
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-2212
(860) 679-7503
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3391
CT
Other
Enumeration date
07/22/2014
Last updated
09/26/2022
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