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Individual
DR. KEITH EDWARD PENNEY
Active
Individual
DR. KEITH EDWARD PENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
039414
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001394147
—
CT
01
—
010039414CT04
BLUE CROSS BLUE SHIELD
CT
01
—
2011881
UNITED HEALTHCARE
CT
01
—
2V4410
HEALTHNET
CT
01
—
3200664
AETNA
—
01
—
755782
CONNECTICARE
CT
01
—
7643168006
CIGNA
CT
01
—
P2397979
OXFORD
CT
Enumeration date
10/12/2005
Last updated
05/20/2019
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