Individual
SAGE ANN KENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
149 WATER ST APT 32, NORWALK, CT 06854-3758
(203) 545-4032
Mailing address
149 WATER ST, NORWALK, CT 06854-3754
(203) 545-4032
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4753
CT
Other
Enumeration date
02/28/2020
Last updated
08/25/2022
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