KAREN DETTMER MD NPI 1154363430

NPI Information

NPI: 1154363430
Provider Name: KAREN DETTMER, MD
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
20 FELICITY LN
TORRINGTON, CT
ZIP 06790
Phone: (860) 489-4144
Get Directions

Karen Dettmer, MD is an adolescent medicine pediatrics in Torrington, CT. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Karen Dettmer, MD NPI is 1154363430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20 FELICITY LN
TORRINGTON, CT
ZIP 06790-101
Phone: (860) 489-4144
Fax: (860) 489-4412

The enumeration date for this NPI number is 6/12/2006 and was last updated on 3/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	038261	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	001382613	MEDICAID	CONNECTICUT
2	370001575	MEDICARE PIN	CONNECTICUT
3	G82218	MEDICARE UPIN	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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