KENNETH KOELLE

NEW LONDON, CT
NPI1326136979
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CT  000199)
Enumeration Date2006-10-10
Last Update Date2008-02-01
Business Address
-- KENNETH KOELLE CRNA
365 MONTAUK AVE ANESTHESIA DEPT.
NEW LONDON, CT 06320-4700
Phone number: 860-442-0711
Mailing Address
-- KENNETH KOELLE CRNA
PO BOX 32928 ANESTHESIA ASSOC OF NEW LONDON
HARTFORD, CT 06150-2928
Phone number: 800-720-1664