Individual
THOMAS MARTIN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 634-7020
(203) 634-7011
Mailing address
9 HIGBY DR, MERIDEN, CT 06450-3514
(203) 634-0292
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
010624
CT
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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