Active NPIIndividual provider

Kenneth R Dardick, MD

Family Medicine in Storrs, Connecticut

NPI Number1316930266
Practice location
34 Professional Park RD., Storrs, CT 06268-2537
Fax
860-429-1663
Last updated
April 12, 2011

Kenneth R Dardick is a Family Medicine based in Storrs, CT. Kenneth R Dardick practices in Storrs, CT and has the professional credentials of MD. The NPI Number for Kenneth R Dardick is 1316930266 and holds a License No. 17773 (CT). The current practice location address for Kenneth R Dardick is 34 Professional Park RD., Storrs, CT 06268-2537 and can be reached out via phone at 860-487-0002 and via fax at 860-429-1663.

Provider Profile Details

NPI Number
1316930266
Provider Name
Kenneth R Dardick
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
34 Professional Park RD., Storrs, CT 06268-2537
Phone Number
860-487-0002
Fax Number
860-429-1663
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
August 25, 2005
Last Update Date
April 12, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
34 Professional Park RD.
Storrs, CT 06268-2537
City
Storrs
Zip
06268-2537
Phone Number
860-487-0002
Fax Number
860-429-1663
Storrs, CT 06268Get directions →

Provider Business Mailing Address Details

Address
34 Professional Park RD
Storrs, CT 06268
City
Storrs
State
CT
Zip
06268
Phone Number
860-487-0002
Fax Number
860-429-1663

License Information

License Number
17773
License State
CT
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kenneth R Dardick, MD?

The NPI number of Kenneth R Dardick, MD is 1316930266. It was assigned on August 25, 2005 and is currently active in the NPPES registry.

What is the specialty of Kenneth R Dardick, MD?

Kenneth R Dardick, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 17773.

Where does Kenneth R Dardick, MD practice?

The practice location is 34 Professional Park RD., Storrs, CT 06268-2537. The office can be reached at 860-487-0002 (phone) or 860-429-1663 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316930266 directly on the NPPES registry website.

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