Individual
KAREN E KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000
Mailing address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
037020
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001370204
—
CT
01
—
037020-Q059
CONNECTICARE
CT
01
—
145426
USA
CT
01
—
18-66488
UHC
CT
01
—
5692642
AETNA
CT
01
—
P3807878
OXFORD
CT
01
—
PENDING
RR MEDICARE
CT
01
—
WELLCARE
180022
CT
Enumeration date
01/10/2006
Last updated
06/16/2021
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