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KENDRA MODEROW
NPI 1760065064
Licensed Practical Nurse in Putnam, CT

Active since May 04, 2021
391 POMFRET ST, PUTNAM, CT 06260(860) 731-5522(860) 731-5536 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kendra Moderow NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDRA MODEROW (NPI 1760065064) is an individual licensed practical nurse in Putnam, Connecticut, licensed in Connecticut (042247) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1760065064
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKENDRA MODEROW
Location Address391 POMFRET STPutnam, CT 06260-1852
Mailing Address2 Waterside Xing Ste 401Windsor, CT 06095-1588 · (860) 731-5522 · Fax (860) 731-5536
Phone(860) 731-5522
Fax(860) 731-5536
Sole ProprietorNo
Enumeration DateMay 4, 2021
NPPES CertifiedMay 4, 2021
✔ NPI 1760065064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in CT · 042247
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
391 POMFRET ST, Putnam, CT 06260
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORGAN SAVINO
Counselor (Addiction (Substance Use Disorder))
391 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (886) 073-1552
KERRI DEORSEY LPN
Licensed Practical Nurse
391 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 963-4971
MARY MCGINN
Counselor
391 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 963-4971
HEATHER L ADAMEC RN
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 731-5522
JULIE A WARDELL RN
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 731-5522
TRACI L GWIAZDOWSKI
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 731-5522
JASMYN CUC-SAENZ RN
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 731-5522
HOLLY SANTIAGO
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 963-4971

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendra Moderow's NPI number?

The NPI number for Kendra Moderow is 1760065064. It was assigned to this individual provider in the NPPES registry on May 4, 2021.

Where is Kendra Moderow located?

Kendra Moderow practices at 391 Pomfret St, Putnam, CT 06260. The listed phone number is (860) 731-5522.

What is Kendra Moderow's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kendra Moderow was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.