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Individual

DR. KEITH EDWARD PENNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
538 LITCHFIELD ST STE G01, TORRINGTON, CT 06790
(860) 496-9877
(860) 496-0441
Mailing address
538 LITCHFIELD ST STE G01, TORRINGTON, CT 06790-6669
(860) 496-9877
(860) 496-0441

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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