Kent Med Peds, LLC
Organization Active NPI Family Medicine Physician · Kent, CT
NPI 1861447799 · NPPES record last updated Jul 23, 2008
Key facts
- NPI
- 1861447799
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- KENT MED PEDS, LLC
- Practice address
- 38 N Main St
Kent, CT 06757-1511 - Phone
- (860) 927-4365
- Fax
- (860) 927-4366
- NPI assigned
- May 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Joseph P Frolkis, MD
- Title
- President & Ceo
- Phone
- (860) 350-7200
Practitioners 4
-
Suzanne Lefebvre, M.D.
-
David K McIntosh, M.D.
-
Joseph P Frolkis, M.D.
-
Daren Garb, M.D.
National Provider Directory
Locations
36 Charles Colman Blvd
Pawling, NY 12564
Phone (845) 855-1258
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
38 N Main St
Kent, CT 06757-1511
Mailing address
38 N Main St
Kent, CT 06757-1511
Phone (860) 927-4365
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004230538 | Medicaid | CT |
Other providers in Kent, CT
- Kent Apothecary LLC
- Kent Apothecary LLC
- Kent Chiropractic Associates LLC
- Kent Dentistry & Implants
- Kent Eyecare, LLC
- Kent Pharmacy, LLC
- Kent Physical Therapy, LLP
- Kent Primary Care, LLC
- Kent Volunteer Fire Department, Inc.
- James H Lampman
All providers in Kent, CT · Family Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.