Individual
KENNETH I KRASNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 NEWELL RD, SUITE E-36, BRISTOL, CT 06010-5100
(860) 583-9252
(860) 585-9848
Mailing address
25 NEWELL RD, SUITE E-36, BRISTOL, CT 06010-5100
(860) 583-9252
(860) 585-9848
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
021006
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001210061
—
CT
Enumeration date
04/27/2006
Last updated
12/01/2011
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