| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DANIEL KENNETH SUNDERLAND | 1578143863 | 2021-04-10 |
Daniel Kenneth Sunderland is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1578143863. Registration indicates Daniel Kenneth Sunderland is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Daniel Kenneth Sunderland DO |
| Practice Office Address | 130 HARTFORD RD MANCHESTER, CT US |
| Practice Office Telephone | 8605334673 |
| Mailing Address | 71 HAYNES ST MANCHESTER, CT 060404188 US |
| Business Telephone | 8605334679 |
| Business Fax | 8606454151 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |