MR. Kenny Daniel Harp, IDC

NPI #1063052819 in Groton, Connecticut

Provider Information

NPI Number
1063052819
Entity Type
Individual
Name
MR. Kenny Daniel Harp, IDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
Jan 9, 2020
Last Updated
Jan 9, 2020

Practice Location

Address
59 DEERWOOD DR
City
Groton
ZIP Code
06340-2513
Phone
(224) 535-0152

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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