Mrs Michele Constance Kenny, CRNA | |
164 Lake Ridge Rd, Southbury, CT 06488-4161 | |
(203) 264-9110 | |
(203) 841-1252 |
Full Name | Mrs Michele Constance Kenny |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 164 Lake Ridge Rd, Southbury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013169234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 004084 (Connecticut) | Primary |
Entity Name | Integrated Anesthesia Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881636397 PECOS PAC ID: 1759281165 Enrollment ID: O20040112000163 |
Entity Name | Woodland Anesthesiology Associates, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437109824 PECOS PAC ID: 8820083652 Enrollment ID: O20040420000027 |
Mailing Address | Practice Location Address |
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Mrs Michele Constance Kenny, CRNA 164 Lake Ridge Rd, Southbury, CT 06488-4161 Ph: (203) 264-9110 | Mrs Michele Constance Kenny, CRNA 164 Lake Ridge Rd, Southbury, CT 06488-4161 Ph: (203) 264-9110 |
Nathaniel Georgette, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 330 Holly Hill Ln, Southbury, CT 06488 Phone: 203-910-0556 | |
Mrs. Megan Elizabeth Canfield, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1054 Bullet Hill Rd, Southbury, CT 06488 Phone: 203-209-2791 |