Kedeisha Fountain is a professional counselor in Stratford, CT. Kedeisha Fountain NPI is 1184897084. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
821 SUCCESS AVE
STRATFORD, CT
ZIP 06614-731
Phone: (475) 243-8875
The NPI 1184897084 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 4/11/2008 and was last updated on 10/12/2023.