Reagan, Kevin J

Reagan, Kevin J is an individual health care provider with primary practice located at 35 Kennedy Dr , Putnam CT 06260-1939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, which is considered as his primary health care specialty. Reagan, Kevin J can be contacted via phone (860) 963-2133.

Contact Information

Primary practice address
35 Kennedy Dr Putnam CT 06260-1939
Phone: (860) 963-2133
Fax: (860) 963-8955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X 036021 Connecticut

Profile Details

NPI number 1730186222
LBN Legal business name Reagan, Kevin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated May 13th, 2015 - about 9 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 1730186222 NPPES
Connecticut MEDICAID 001360213

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