Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 4884 | CT |
NPI | 1063619864 |
---|---|
Provider Name | Dr. Kenneth J. Huwer |
First Address | New Fairfield, CT 06812 |
Second Address | New Fairfield, CT 06812 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2007 |
Last Update Date | 08/07/2007 |