Individual
KIBWEY RODERICK ANDWELE PETERKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK SREET, NEW HAVEN, CT 06510-3139
(203) 737-8867
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
07/16/2025
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