Individual
KATHLEEN A KENNEDY
Active
Individual
KATHLEEN A KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
026843
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004244738
AETNA
—
05
—
001268433
—
CT
01
—
00126843301
ANTHEM BCBS
—
01
—
010026843CT03
ANTHEM BCBS
—
01
—
060052425
RAILROAD MEDICARE
—
01
—
2083418
AETNA
—
01
—
708620
CONNECTICARE
CT
01
—
HAS544
OXFORD
CT
Enumeration date
08/30/2005
Last updated
07/07/2015
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