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Individual

DR. KEVIN GERARD KETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
455 CHASE PARKWAY, WATERBURY, CT 06708-3352
(203) 573-1435
Mailing address
455 CHASE PARKWAY, WATERBURY, CT 06708-3352
(203) 573-1435

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
029001
CT
207RI0011X
Interventional Cardiology Physician
029001
CT
207UN0901X
Nuclear Cardiology Physician
029001
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001290014
CT
01
010029001CT01
ANTHEM BC & BS
CT
01
010029001CT04
ANTHEM BCBS CT
CT
01
01029001
CIGNA HEALTH PLANS
CT
01
029001
CONNECTICARE
CT
01
0R0352
HEALTH NET OF NORTHEAST
CT
01
13-86973
UHC
CT
05
1669417184
CT
01
206708
WELLCARE
CT
01
25-40436
UNITED HEALTHCARE
CT
01
2V2868
HEALTHNET/COMMERCIAL
CT
01
4124668
AETNA HEALTH PLANS
CT
01
874070
USA
CT
01
P00025374
RR MEDICARE
CT
01
P380226
OXFORD HEALTH PLANS
CT
Enumeration date
06/18/2006
Last updated
10/26/2021
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