ALLYSSA LOUISE KENNEY
Physician Assistant


Address: 520 Roosevelt Ave, Springfield, MA 01118-1100

ALLYSSA LOUISE KENNEY (Credential# 1520146) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

ALLYSSA LOUISE KENNEY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004163. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 520 Roosevelt Ave, Springfield, MA 01118-1100. The current status is active.

Basic Information

Licensee Name ALLYSSA LOUISE KENNEY
Credential ID 1520146
Credential Number 23.004163
Credential Type Physician Assistant
Business Address 520 Roosevelt Ave
Springfield
MA 01118-1100
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-07-17
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-01-30

Other licenses

ID Credential Code Credential Type Issue Term Status
1520464 CSP.0068576 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2018-07-17 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 520 ROOSEVELT AVE
City SPRINGFIELD
State MA
Zip Code 01118-1100

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Competitor

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City SPRINGFIELD
Zip Code 01118
License Type Physician Assistant
License Type + County Physician Assistant + SPRINGFIELD

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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