Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kendra Moderow

Individual provider Licensed Practical Nurse · NPI 1760065064

Kendra Moderow is a Licensed Practical Nurse in Putnam, Connecticut. Licensed in Connecticut. Registered with an NPI since 2021.

Licensed in
CT
In the registry since
2021

Practice location Address checks out

391 Pomfret St
Putnam, CT 06260-1852
Phone: (860) 731-5522
Fax: (860) 731-5536
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 042247 (CT)

Record details

NPI number1760065064
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 4, 2021
Last updated in NPPESMay 4, 2021
Certification dateMay 4, 2021
Mailing address2 Waterside Xing Ste 401, Windsor, CT 06095-1588

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