Individual
DR. KENNETH ALAN KINGSLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 POST ROAD, 2ND FLOOR, FAIRFIELD, CT 06824
(203) 254-1576
(203) 254-1809
Mailing address
425 POST ROAD, 2ND FLOOR, FAIRFIELD, CT 06824
(203) 254-1576
(203) 254-1809
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
039816
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001398165
—
CT
Enumeration date
08/14/2006
Last updated
08/08/2012
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