NPI 1063052819

Kenny Daniel Harp, IDC

Practitioner Independent Duty Corpsman Groton, CT

Practice location

Address: 59 Deerwood Dr, Groton, CT 06340-2513
Phone: (224) 535-0152

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1063052819
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jan 2020
Record last updated: 9 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.