Individual provider · Type 1 NPI
Sage Ann Kenny, PA-C
Medical Physician Assistant · Norwalk, CT
NPI number
1689208571
Active
Practice location
149 Water St Apt 32
Norwalk, CT 06854-3758
Mailing address
149 Water St
Norwalk, CT 06854-3754
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 4753 (CT) |
Medical Physician Assistant: Definition to come...
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About NPI 1689208571
Sage Ann Kenny, PA-C's National Provider Identifier is 1689208571, issued on Feb 28, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Norwalk, CT. The record was last updated on Aug 25, 2022.