Individual
JENNIFER R CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4536 22ND AVE, KENOSHA, WI 53140-5917
(262) 656-0044
(262) 653-2218
Mailing address
11115 79TH ST, KENOSHA, WI 53158-1122
(262) 945-7316
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6549-016
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33805100
—
WI
Enumeration date
11/21/2006
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us