Individual
DR. KEVIN J REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35 KENNEDY DR, PUTNAM, CT 06260-1939
(860) 963-2133
(860) 963-8955
Mailing address
35 KENNEDY DR, PUTNAM, CT 06260-1939
(860) 963-2133
(860) 963-8955
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
036021
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001360213
—
CT
Enumeration date
06/30/2005
Last updated
05/13/2015
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