DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KENDERICK RENARD STREET JR., IDC

Active

MR. KENDERICK RENARD STREET JR., IDC is a Technician, Health Information healthcare provider located in NEW HAVEN, Connecticut. NPI 1972098184 is currently active in the NPPES registry. Verify at CMS.

Technician, Health Information · NEW HAVEN, CT

Registration Details

NPI Number
1972098184
Provider Type
Individual
Gender
Male
NPI Issued
Jun 29, 2018 (8.1039705155977 yrs)
Last Updated
Jun 29, 2018

Practice Information

Address
503 TOWNSEND AVE
NEW HAVEN, CT, 065123653
Browse CT providers · Browse ZIP 06512
Phone
9123313110
Primary Specialty
Technician, Health Information
247200000X

Other Technician, Health Information Providers in NEW HAVEN, CT

Name Credential NPI
MR. MARTINEZ MCKEITHAN HS1 1275564700
CHRISTA MICHELLE SOLIS HS 1356434450
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.