Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 337 | CT |
NPI | 1033114889 |
---|---|
Provider Name | Kevin J Felice |
First Address | New Britain, CT 06053-2266 |
Second Address | New Britain, CT 06053-2266 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 18/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003376 | (05) | CT |
F27981 | (02) | CT |