Active NPI
Kent Primary Care, LLC
- Internal Medicine Physician
- Kent, CT
National Provider Identifier
1790969145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 041413
- Legal business name
- KENT PRIMARY CARE, LLC
- Practice address
- 64 Maple St
Kent, CT 06757 - Phone
- (860) 927-1133
- NPI assigned
- Dec 20, 2007
- Last updated
- Apr 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Suzanne M Lefebvre, MD
- Title
- Owner
- Phone
- (860) 927-1133
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 041413 | CT | Primary |
| Pediatrics Physician | 208000000X | 041413 | CT |
Addresses
Primary practice location
64 Maple St
Kent, CT 06757
Mailing address
PO Box 885
Kent, CT 06757-0885
National Provider Directory
National Provider DirectoryLocations
64 Maple St
Kent, CT 06757
Phone (860) 419-5925
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Kent, CT
- NPI 1255310033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207612800000",
"number": "1790969145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 885",
"city": "KENT",
"state": "CT",
"postal_code": "067570885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 MAPLE ST",
"city": "KENT",
"state": "CT",
"postal_code": "06757",
"telephone_number": "860-927-1133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENT PRIMARY CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-20",
"last_updated": "2008-04-08",
"status": "A",
"authorized_official_last_name": "LEFEBVRE",
"authorized_official_first_name": "SUZANNE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-927-1133",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CT",
"license": "041413",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CT",
"license": "041413",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.