Individual
DIANE KEARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 COLVER AVE, GROTON, CT 06340-3808
(888) 578-3457
(860) 405-0760
Mailing address
60 COLVER AVE, GROTON, CT 06340-3808
(888) 578-3457
(860) 405-0760
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
007798
CT
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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