Kenneth Pellegrino, MD
Family Medicine in Brookfield, Connecticut
1407872195- Practice location
- 60 Old New Milford RD, Brookfield, CT 06804-2430
- Phone
- 203-775-6365
- Fax
- —
- Last updated
- July 8, 2007
Kenneth Pellegrino is a Family Medicine based in Brookfield, CT. Kenneth Pellegrino practices in Brookfield, CT and has the professional credentials of MD. The NPI Number for Kenneth Pellegrino is 1407872195 and holds a License No. 021500 (CT). The current practice location address for Kenneth Pellegrino is 60 Old New Milford RD, Brookfield, CT 06804-2430 and can be reached out via phone at 203-775-6365.
Provider Profile Details
- NPI Number
- 1407872195
- Provider Name
- Kenneth Pellegrino
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 60 Old New Milford RD, Brookfield, CT 06804-2430
- Phone Number
- 203-775-6365
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 14, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 60 Old New Milford RD
Brookfield, CT 06804-2430 - City
- Brookfield
- State
- Connecticut
- Zip
- 06804-2430
- Phone Number
- 203-775-6365
Provider Business Mailing Address Details
- Address
- 60 Old New Milford RD
Brookfield, CT 06804-2430 - City
- Brookfield
- State
- CT
- Zip
- 06804-2430
- Phone Number
- 203-775-6365
License Information
- License Number
- 021500
- License State
- CT
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Pellegrino, MD?
The NPI number of Kenneth Pellegrino, MD is 1407872195. It was assigned on July 14, 2006 and is currently active in the NPPES registry.
What is the specialty of Kenneth Pellegrino, MD?
Kenneth Pellegrino, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 021500.
Where does Kenneth Pellegrino, MD practice?
The practice location is 60 Old New Milford RD, Brookfield, CT 06804-2430. The office can be reached at 203-775-6365 (phone).
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 1407872195 directly on the NPPES registry website.