Bird, Kenneth I

Bird, Kenneth I is an individual health care provider with primary practice located at 28 Crescent St Middlesex Hospital, Middletown CT 06457-3654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bird, Kenneth I can be contacted via phone (860) 344-6293.

Contact Information

Primary practice address
28 Crescent St Middlesex Hospital Middletown CT 06457-3654
Phone: (860) 344-6293
Fax: (860) 344-6071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 017756 Connecticut

Profile Details

NPI number 1912931718
LBN Legal business name Bird, Kenneth I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 29th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912931718 NPPES
Connecticut MEDICAID 004000378

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