| Kent Primary Care, LLC | |
|
64 Maple St Kent CT 06757 | |
| (860) 927-1133 | |
| Not Available |
| Full Name | Kent Primary Care, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 64 Maple St, Kent, Connecticut |
| Authorized Official Name and Position | Suzanne M Lefebvre (OWNER) |
| Authorized Official Contact | 8609271133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kent Primary Care, LLC Po Box 885 Kent CT 06757-0885 | Kent Primary Care, LLC 64 Maple St Kent CT 06757 Ph: (860) 927-1133 |
| NPI Number | 1790969145 |
|---|---|
| Provider Enumeration Date | 12/20/2007 |
| Last Update Date | 04/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790969145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 041413 (Connecticut) | Primary |
| 208000000X | Pediatrics | 041413 (Connecticut) | Secondary |
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