Organization
KENT PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE M LEFEBVRE MD (OWNER)
(860) 927-1133
Entity
Organization
Contact information
Practice address
64 MAPLE ST, KENT, CT 06757
(860) 927-1133
Mailing address
PO BOX 885, KENT, CT 06757-0885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041413
CT
208000000X
Pediatrics Physician
041413
CT
Other
Enumeration date
12/20/2007
Last updated
04/08/2008
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