Individual
RENEE DAWN KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4362
(860) 696-2925
(860) 696-2926
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
(860) 696-2925
(860) 696-2926
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
005279
CT
363LA2200X
Adult Health Nurse Practitioner
RN2281067
MA
Other
Enumeration date
08/29/2012
Last updated
09/29/2015
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