MR. KENDERICK RENARD STREET JR. IDC
NPI 1972098184
Technician, Other in New Haven, CT
About Mr. Kenderick Renard Street Jr. Idc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KENDERICK RENARD STREET JR. IDC (NPI 1972098184) is an individual technician, other provider in New Haven, Connecticut and active in the NPI registry since June 2018.
NPPES Registry Identity
Specialties & Licenses
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 Kenderick Street's NPI number?
The NPI number for Kenderick Street is 1972098184. It was assigned to this individual provider in the NPPES registry on June 29, 2018.
Where is Kenderick Street located?
Kenderick Street practices at 503 Townsend Ave, New Haven, CT 06512. The listed phone number is (912) 331-3110.
What is Kenderick Street's specialty?
The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.
When was this NPI record last updated?
The NPPES record for Kenderick Street was last updated on June 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.