KRISTINE KENNING
Individual Provider (NPI-1)
Active
Colon & Rectal Surgery
Provider Information
- NPI Number
1306233523- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 10 CANAL RD, MASSAPEQUA, NY, 117586617
- Phone
- (203) 907-7151
- Fax
- (804) 828-0191
Specialties & Taxonomies
Colon & Rectal Surgery
Primary License: NY #315637-01