Dr. Kevin J Reagan
Sports Medicine Doctor
35 Kennedy Dr
Putnam
, Connecticut 06260-1939
Dr. Kevin J Reagan
Sports Medicine Doctor
35 Kennedy Dr
Putnam
, Connecticut 06260-1939
(860) 963-8955
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Dr. Kevin J Reagan
- 35 Kennedy Dr
- Putnam, CT
- Zip : 06260-1939
- Fax : (860) 963-8955
- Phone : (860) 963-2133
Second Address
- Dr. Kevin J Reagan
- 35 Kennedy Dr
- Putnam, CT
- Zip : 06260-1939
- Fax : (860) 963-8955
- Phone : (860) 963-2133
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | 036021 | CT |
National Provider Identifier
| NPI | 1730186222 |
|---|---|
| Provider Name | Dr. Kevin J Reagan |
| First Address | Putnam, CT 06260-1939 |
| Second Address | Putnam, CT 06260-1939 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2005 |
| Last Update Date | 13/05/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001360213 | (05) | CT |
| G47153 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.