# DR. KEITH EDWARD PENNEY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1700874955
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 039414 | CT | Yes |

## Other

- **Enumeration date:** 10/12/2005
- **Last updated:** 05/20/2019

## 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 |