Individual
MISS RACHAEL ANN KENOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
189 STORRS RD, MANSFIELD CENTER, CT 06250-1683
(860) 456-1311
Mailing address
26 DECEMBER DR, GRISWOLD, CT 06351-1706
(860) 334-1195
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
100838
CT
Other
Enumeration date
07/14/2011
Last updated
07/15/2011
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