Individual
KELLY ANN MEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 LEWIS AVE, MERIDEN, CT 06451-2101
(203) 694-8911
Mailing address
8 LENMORE DR, OLD BETHPAGE, NY 11804-1119
(516) 477-3346
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
09/11/2019
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