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Kristi F Beck, MEDICAL DOCTOR

Individual provider Active NPI Pediatrics Physician · New Milford, CT

NPI 1568469831 · NPPES record last updated Jan 3, 2017

Key facts

NPI
1568469831
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
042396 (CT)
Practice address
120 Park LN
Suite a-101
New Milford, CT 06776-2428
Phone
(860) 355-8190
Fax
(860) 355-3856
NPI assigned
Jul 1, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042396CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Candlewood Valley Pediatrics, P.C. Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kbeckmd@ctproviderdirect.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 042396 CT Yes

Addresses

Primary practice location

120 Park LN
Suite a-101
New Milford, CT 06776-2428

Mailing address

29 Wood Creek Rd
New Milford, CT 06776-5138
Phone (860) 210-0150

Other providers in New Milford, CT

All providers in New Milford, CT · Pediatrics Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.