Flanagan, Kevin Joseph

Flanagan, Kevin Joseph is an individual health care provider with primary practice located at 851 Marshall Phelps Rd , Windsor CT 06095-2108. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Flanagan, Kevin Joseph can be contacted via phone (860) 683-0756.

Contact Information

Primary practice address
851 Marshall Phelps Rd Windsor CT 06095-2108
Phone: (860) 683-0756
Fax: (860) 683-1555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 030640 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 030640 Connecticut
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 030640 Connecticut

Profile Details

NPI number 1013981471
LBN Legal business name Flanagan, Kevin Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Mar 20th, 2012 - about 12 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 1013981471 NPPES
Connecticut Other 080136115 RAILROAD MEDICARE
Connecticut MEDICAID 001306407 RAILROAD MEDICARE

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