Provider Type Icon

KENT MED PEDS LLC NPI 1861447799


NPI Information

NPI: 1861447799
Provider Name: KENT MED PEDS, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
38 N MAIN ST
KENT, CT
ZIP 06757
Phone: (860) 927-4365
Get Directions

KENT MED PEDS, LLC is a family medicine in Kent, CT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KENT MED PEDS, LLC NPI is 1861447799. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

38 N MAIN ST
KENT, CT
ZIP 06757-511
Phone: (860) 927-4365
Fax: (860) 927-4366

The provider's authorized official is Joseph P Frolkis .
The authorized official title is President & Ceo and has the following contact phone number (860) 350-7200.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 7/23/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WHW001MEDICARE PINNEW YORK
2C02859MEDICARE PINCONNECTICUT
3004230538MEDICAIDCONNECTICUT

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.