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Kenneth Johnson
NPI 1710580436 · on the registry since 2020
Practice
- Address
- 179 Flanders Rd
Niantic, CT 06357 - Phone
- (860) 691-0279
- Organisation at this address
- Guardian Health Center, Pa
Norwich Ophthalmology OpticalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut