Individual
KENNEDY ONDITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 DEERWOOD DR, GROTON, CT 06340-2514
(972) 750-9750
Mailing address
8 DEERWOOD DR, GROTON, CT 06340-2514
(972) 750-9750
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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