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Individual

DR. KENNETH PERKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
34 DALE RD, SUITE 205, AVON, CT 06001-3659
(860) 676-1111
(860) 676-0134
Mailing address
34 DALE ROAD, SUITE 205, AVON, CT 06019
(860) 676-1111
(860) 676-0134

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036936
CT

Other

Enumeration date
08/01/2006
Last updated
07/08/2007
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