Individual
KENDRA DAWLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06106-3300
(860) 545-5000
Mailing address
32 SQUIRRELS RUN, WEST GREENWICH, RI 02817-2502
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
07/16/2020
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