Active NPIIndividual provider

Dr. Kevin J Reagan, MD

Neuromusculoskeletal Medicine, Sports Medicine in Putnam, Connecticut

NPI Number1730186222
Practice location
35 Kennedy Dr, Putnam, CT 06260-1939
Fax
860-963-8955
Last updated
May 13, 2015

Kevin J Reagan is a Neuromusculoskeletal Medicine, Sports Medicine based in Putnam, CT. Kevin J Reagan practices in Putnam, CT and has the professional credentials of MD. The NPI Number for Kevin J Reagan is 1730186222 and holds a License No. 036021 (CT). The current practice location address for Kevin J Reagan is 35 Kennedy Dr, Putnam, CT 06260-1939 and can be reached out via phone at 860-963-2133 and via fax at 860-963-8955.

Provider Profile Details

NPI Number
1730186222
Provider Name
Kevin J Reagan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
35 Kennedy Dr, Putnam, CT 06260-1939
Phone Number
860-963-2133
Fax Number
860-963-8955
Sole Proprietor
No
Provider Enumeration Date
June 30, 2005
Last Update Date
May 13, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Kennedy Dr
Putnam, CT 06260-1939
City
Putnam
Zip
06260-1939
Phone Number
860-963-2133
Fax Number
860-963-8955
Putnam, CT 06260Get directions →

Provider Business Mailing Address Details

Address
35 Kennedy Dr
Putnam, CT 06260-1939
City
Putnam
State
CT
Zip
06260-1939
Phone Number
860-963-2133
Fax Number
860-963-8955

License Information

License Number
036021
License State
CT
Taxonomy
Neuromusculoskeletal Medicine, Sports Medicine · 204C00000X · 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. Kevin J Reagan, MD?

The NPI number of Dr. Kevin J Reagan, MD is 1730186222. It was assigned on June 30, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Kevin J Reagan, MD?

Dr. Kevin J Reagan, MD is registered under the primary taxonomy Neuromusculoskeletal Medicine, Sports Medicine (code 204C00000X), licensed in CT under license number 036021.

Where does Dr. Kevin J Reagan, MD practice?

The practice location is 35 Kennedy Dr, Putnam, CT 06260-1939. The office can be reached at 860-963-2133 (phone) or 860-963-8955 (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 1730186222 directly on the NPPES registry website.

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