Kendra Moderow, - Licensed Practical Nurse in Putnam, CT

Kendra Moderow, is a Licensed Practical Nurse based in Putnam, Connecticut. Kendra Moderow is licensed to practice in Connecticut (license number 042247) and her current practice location is 391 Pomfret St, Putnam, Connecticut. She can be reached at her office (for appointments etc.) via phone at (860) 731-5522.

NPI number for Kendra Moderow is 1760065064 and her current mailing address is 2 Waterside Xing Ste 401, Windsor, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760065064.

Contact Information

Kendra Moderow,
391 Pomfret St,
Putnam, CT 06260-1852
(860) 731-5522
(860) 731-5536



Provider's Profile

Full NameKendra Moderow
GenderFemale
SpecialityLicensed Practical Nurse
Location391 Pomfret St, Putnam, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1760065064
  • Provider Enumeration Date: 05/04/2021
  • Last Update Date: 05/04/2021

Medical Identifiers

Medical identifiers for Kendra Moderow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760065064NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 042247 (Connecticut)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kendra Moderow is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kendra Moderow,
2 Waterside Xing Ste 401,
Windsor, CT 06095-1588

Ph: (860) 731-5522
Kendra Moderow,
391 Pomfret St,
Putnam, CT 06260-1852

Ph: (860) 731-5522

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› Verified 6 days ago


Licensed Practical Nurse Nurses in Putnam, CT

Kerri Deorsey, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 391 Pomfret St, Putnam, CT 06260
Phone: 860-963-4971    Fax: 860-963-4979
Tessa Hidalgo,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 391 Pomfret St, Putnam, CT 06260
Phone: 860-963-4971    Fax: 860-963-4971
Emily Therrien,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 391 Pomfret St, Putnam, CT 06260
Phone: 860-963-4971    
Randy N Munasami,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 391 Pomfret St, Putnam, CT 06260
Phone: 860-963-4971    
Kristina Torrente,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 391 Pomfret St, Putnam, CT 06260
Phone: 860-963-4971    Fax: 860-963-4979
Donna Blais,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 391 Pomfret St, Putnam, CT 06260
Phone: 860-963-4971    Fax: 860-963-4979
Ashly L Meyer,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 391 Pomfret St, Putnam, CT 06260
Phone: 877-884-3571    Fax: 860-731-5536

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