Active NPIIndividual providerSole proprietor

Ms. Kristin M Kenny, APRN

Nurse Practitioner, Family in Niantic, Connecticut

NPI Number1003772351
Practice location
377 Main St Ste 102, Niantic, CT 06357-3174
Fax
—
Last updated
December 30, 2025

Kristin Marie Kenny is a Nurse Practitioner, Family based in Niantic, CT. Kristin Marie Kenny practices in Niantic, CT and has the professional credentials of APRN. The NPI Number for Kristin Marie Kenny is 1003772351 and holds a License No. 15502 (CT). The current practice location address for Kristin Marie Kenny is 377 Main St Ste 102, Niantic, CT 06357-3174 and can be reached out via phone at 860-501-7070.

Provider Profile Details

NPI Number
1003772351
Provider Name
Kristin Marie Kenny
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
377 Main St Ste 102, Niantic, CT 06357-3174
Phone Number
860-501-7070
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
December 30, 2025
Last Update Date
December 30, 2025
Certification Date
December 30, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
377 Main St Ste 102
Niantic, CT 06357-3174
Zip
06357-3174
Phone Number
860-501-7070
Niantic, CT 06357Get directions →

Provider Business Mailing Address Details

Address
46 Fitch Ave
New London, CT 06320-5329
City
New London
State
CT
Zip
06320-5329
Phone Number
860-501-7070

License Information

License Number
15502
License State
CT
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Kristin M Kenny, APRN?

The NPI number of Ms. Kristin M Kenny, APRN is 1003772351. It was assigned on December 30, 2025 and is currently active in the NPPES registry.

What is the specialty of Ms. Kristin M Kenny, APRN?

Ms. Kristin M Kenny, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 15502.

Where does Ms. Kristin M Kenny, APRN practice?

The practice location is 377 Main St Ste 102, Niantic, CT 06357-3174. The office can be reached at 860-501-7070 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003772351 directly on the NPPES registry website.

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