Active NPIIndividual providerSole proprietor

Dr. Kevin E Boucher, DO

Family Medicine in Abington, Connecticut

NPI Number1992869523
Practice location
5 Clinic RD, Abington, CT 06230-2005
Fax
860-974-1029
Last updated
April 19, 2010

Kevin E Boucher is a Family Medicine based in Abington, CT. Kevin E Boucher practices in Abington, CT and has the professional credentials of DO. The NPI Number for Kevin E Boucher is 1992869523 and holds a License No. 000211 (CT). The current practice location address for Kevin E Boucher is 5 Clinic RD, Abington, CT 06230-2005 and can be reached out via phone at 860-974-0529 and via fax at 860-974-1029.

Provider Profile Details

NPI Number
1992869523
Provider Name
Kevin E Boucher
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
5 Clinic RD, Abington, CT 06230-2005
Phone Number
860-974-0529
Fax Number
860-974-1029
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 20, 2006
Last Update Date
April 19, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Clinic RD
Abington, CT 06230-2005
Zip
06230-2005
Phone Number
860-974-0529
Fax Number
860-974-1029
Abington, CT 06230Get directions →

Provider Business Mailing Address Details

Address
5 Clinic RD
Abington, CT 06230-2005
City
Abington
State
CT
Zip
06230-2005
Phone Number
860-974-0529
Fax Number
860-974-1029

License Information

License Number
000211
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 Dr. Kevin E Boucher, DO?

The NPI number of Dr. Kevin E Boucher, DO is 1992869523. It was assigned on December 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kevin E Boucher, DO?

Dr. Kevin E Boucher, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 000211.

Where does Dr. Kevin E Boucher, DO practice?

The practice location is 5 Clinic RD, Abington, CT 06230-2005. The office can be reached at 860-974-0529 (phone) or 860-974-1029 (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 1992869523 directly on the NPPES registry website.

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