Kennedy, Karen E

Kennedy, Karen E is an individual health care provider with primary practice located at 56 Franklin St , Waterbury CT 06706-1253. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kennedy, Karen E can be contacted via phone (203) 709-6000.

Contact Information

Primary practice address
56 Franklin St Waterbury CT 06706-1253
Phone: (203) 709-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 037020 Connecticut

Profile Details

NPI number 1811976723
LBN Legal business name Kennedy, Karen E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jun 16th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811976723 NPPES
Connecticut Other WELLCARE 180022
Connecticut MEDICAID 001370204 180022
Connecticut Other 037020-Q059 180022
Connecticut Other 145426 180022
Connecticut Other PENDING 180022
Connecticut Other 5692642 180022
Connecticut Other P3807878 180022
Connecticut Other 18-66488 180022

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