Individual
KENNETH JUNGWOOK HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 LEWIS AVE STE 221, MERIDEN, CT 06451-2121
(203) 694-8550
(203) 694-7698
Mailing address
1290 SILAS DEANE HWY, HHC CVO ENROLLMENT STE 102, 1ST FLOOR, WETHERSFIELD, CT 06109-4337
(860) 972-2990
(860) 972-7040
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
316328
NY
2084N0400X
Neurology Physician
67816
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2017
Last updated
04/17/2024
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