Whalio Doctors

NPI 1063797934

Kenneth Passan

Practitioner Psychiatric/Mental Health Registered Nurse Hartford, CT

Practice location

Address
1680 Albany Ave, Hartford, CT 06105-1001
Phone
(860) 236-4511
Fax
(860) 296-1071

Registered specialties

Psychiatric/Mental Health Registered Nurse Primary
Nursing Service Providers Taxonomy 163WP0808X Licence E53156 (CT)

Registry record

NPI
1063797934
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Oct 2011
Record last updated
30 Sep 2013

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.