Active NPIIndividual provider

Dr. Kenneth S Blatt, MD

Psychiatry & Neurology, Psychiatry in North Conway, New Hampshire

NPI Number1619030103
Practice location
30 Alpine Place Drive, Apartment 112, North Conway, NH 03860-1064
Fax
—
Last updated
April 14, 2022

Kenneth S Blatt is a Psychiatry & Neurology, Psychiatry based in North Conway, NH. Kenneth S Blatt practices in North Conway, NH and has the professional credentials of MD. The NPI Number for Kenneth S Blatt is 1619030103 and holds a License No. 018051 (CT). The current practice location address for Kenneth S Blatt is 30 Alpine Place Drive, Apartment 112, North Conway, NH 03860-1064 and can be reached out via phone at 860-478-8354.

Provider Profile Details

NPI Number
1619030103
Provider Name
Kenneth S Blatt
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
30 Alpine Place Drive, Apartment 112, North Conway, NH 03860-1064
Phone Number
860-478-8354
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
No
Provider Enumeration Date
December 18, 2006
Last Update Date
April 14, 2022
Certification Date
March 30, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Alpine Place Drive
Apartment 112
North Conway, NH 03860-1064
Zip
03860-1064
Phone Number
860-478-8354
North Conway, NH 03860Get directions →

Provider Business Mailing Address Details

Address
Po Box 1064
North Conway, NH 03860-1064
City
North Conway
State
NH
Zip
03860-1064
Phone Number
860-478-8354

License Information

License Number (1)
018051
License State (1)
CT
Taxonomy (1)
Psychiatry & Neurology, Psychiatry · 2084P0800X
License Number (2)
22142
License State (2)
NH
Taxonomy (2)
Psychiatry & Neurology, Psychiatry · 2084P0800X · 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 Dr. Kenneth S Blatt, MD?

The NPI number of Dr. Kenneth S Blatt, MD is 1619030103. It was assigned on December 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kenneth S Blatt, MD?

Dr. Kenneth S Blatt, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in CT under license number 018051.

Where does Dr. Kenneth S Blatt, MD practice?

The practice location is 30 Alpine Place Drive, Apartment 112, North Conway, NH 03860-1064. The office can be reached at 860-478-8354 (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 1619030103 directly on the NPPES registry website.

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