Kokenos, Lara Beth

Kokenos, Lara Beth is an individual health care provider with primary practice located at 425 Post Rd Fl 2 , Fairfield CT 06824-6232. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Kokenos, Lara Beth can be contacted via phone (203) 254-1576.

Contact Information

Primary practice address
425 Post Rd Fl 2 Fairfield CT 06824-6232
Phone: (203) 254-1576
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 002163 Connecticut

Profile Details

NPI number 1659523561
LBN Legal business name Kokenos, Lara Beth
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2008
Last updated Mar 7th, 2023 - about last year

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 1659523561 NPPES
Connecticut Other 002163 PA LICENSE

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