Mr. Kenderick Renard Street Jr., IDC
Mr. Kenderick Renard Street Jr., IDC is an Other Technician in New Haven, Connecticut. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
503 Townsend AveNew Haven, CT 06512-3653
Phone: (912) 331-3110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1972098184 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | June 29, 2018 |
| Last updated in NPPES | June 29, 2018 |
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