Healthcare Provider Details

I. General information

NPI: 1336474493
Provider Name (Legal Business Name): KENSINGTON NATUROPATHIC MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2009
Last Update Date: 06/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 NEW BRITAIN RD
KENSINGTON CT
06037-1318
US

IV. Provider business mailing address

120 WEBSTER SQUARE RD.
BERLIN CT
06037-2329
US

V. Phone/Fax

Practice location:
  • Phone: 860-829-0707
  • Fax: 860-829-0606
Mailing address:
  • Phone: 860-829-0707
  • Fax: 860-829-0606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name: DR. ANN ARESCO
Title or Position: OWNER
Credential: ND
Phone: 860-829-0707