Individual
THERESA M. KEDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
8D CANAL CT, AVON, CT 06001-3747
(860) 674-9686
Mailing address
8D CANAL CT, AVON, CT 06001-3747
(860) 674-9686
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002854
CT
Other
Enumeration date
11/20/2012
Last updated
12/07/2018
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