Kenneth J Han, MD
Psychiatry & Neurology, Neurology in Meriden, Connecticut
1811429582- Practice location
- 455 Lewis Ave Ste 221, Meriden, CT 06451-2121
- Phone
- 203-694-8550
- Fax
- 203-694-7698
- Last updated
- April 17, 2024
Kenneth Jungwook Han is a Psychiatry & Neurology, Neurology based in Meriden, CT. Kenneth Jungwook Han practices in Meriden, CT and has the professional credentials of MD. The NPI Number for Kenneth Jungwook Han is 1811429582 and holds a License No. 67816 (CT). The current practice location address for Kenneth Jungwook Han is 455 Lewis Ave Ste 221, Meriden, CT 06451-2121 and can be reached out via phone at 203-694-8550 and via fax at 203-694-7698.
Provider Profile Details
- NPI Number
- 1811429582
- Provider Name
- Kenneth Jungwook Han
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 455 Lewis Ave Ste 221, Meriden, CT 06451-2121
- Phone Number
- 203-694-8550
- Fax Number
- 203-694-7698
- Primary Taxonomy
- Psychiatry & Neurology, Neurology · 2084N0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 31, 2017
- Last Update Date
- April 17, 2024
- Certification Date
- April 17, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 455 Lewis Ave Ste 221
Meriden, CT 06451-2121 - City
- Meriden
- State
- Connecticut
- Zip
- 06451-2121
- Phone Number
- 203-694-8550
- Fax Number
- 203-694-7698
Provider Business Mailing Address Details
- Address
- 1290 Silas Deane Hwy
Hhc Cvo Enrollment Ste 102, 1ST Floor
Wethersfield, CT 06109-4337 - City
- Wethersfield
- State
- CT
- Zip
- 06109-4337
- Phone Number
- 860-972-2990
- Fax Number
- 860-972-7040
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 67816
- License State (2)
- CT
- Taxonomy (2)
- Psychiatry & Neurology, Neurology · 2084N0400X
- License Number (3)
- 316328
- License State (3)
- NY
- Taxonomy (3)
- Psychiatry & Neurology, Neurology · 2084N0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychiatry & Neurology, Neurology providers near Meriden, CT
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- Eliza Grigoriciuc, MDPsychiatry & Neurology, Neurology · NPI 1447711239
- Gloria N KorpNurse Practitioner, Psych/Mental Health · NPI 1033019039
- Marisa A BroughPhysician Assistant · NPI 1699609933
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Frequently Asked Questions
What is the NPI number of Kenneth J Han, MD?
The NPI number of Kenneth J Han, MD is 1811429582. It was assigned on March 31, 2017 and is currently active in the NPPES registry.
What is the specialty of Kenneth J Han, MD?
Kenneth J Han, MD is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in CT under license number 67816.
Where does Kenneth J Han, MD practice?
The practice location is 455 Lewis Ave Ste 221, Meriden, CT 06451-2121. The office can be reached at 203-694-8550 (phone) or 203-694-7698 (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 1811429582 directly on the NPPES registry website.