Koelle, Kenneth

Koelle, Kenneth is an individual health care provider with primary practice located at 365 Montauk Ave Anesthesia Dept., New London CT 06320-4700. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Koelle, Kenneth can be contacted via phone (860) 442-0711.

Contact Information

Primary practice address
365 Montauk Ave Anesthesia Dept. New London CT 06320-4700
Phone: (860) 442-0711
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 000199 Connecticut

Profile Details

NPI number 1326136979
LBN Legal business name Koelle, Kenneth
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Feb 1st, 2008 - about 16 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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