Individual
SIMONE V KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
435 LEWIS AVE STE 104, MERIDEN, CT 06451-2101
(203) 694-5200
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003833
CT
Other
Enumeration date
05/23/2017
Last updated
12/18/2024
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