Individual
KEANNA CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-9000
Mailing address
15 PLUM BANK RD, OLD SAYBROOK, CT 06475-2057
(860) 304-1905
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
80332
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2022
Last updated
07/07/2025
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