Kenneth King, DPT | |
5 Pequot Park Rd Ste 102, Westbrook, CT 06498-2856 | |
(860) 399-6411 | |
Not Available |
Full Name | Kenneth King |
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Gender | Male |
Speciality | Physical Therapist |
Location | 5 Pequot Park Rd Ste 102, Westbrook, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548738941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 12069 (Connecticut) | Primary |
Provider Name | Ivyrehab Connecticut Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1265799365 PECOS PAC ID: 8325203649 Enrollment ID: O20120711000223 |
Mailing Address | Practice Location Address |
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Kenneth King, DPT 47 N Main St, West Hartford, CT 06107-1926 Ph: (860) 409-4459 | Kenneth King, DPT 5 Pequot Park Rd Ste 102, Westbrook, CT 06498-2856 Ph: (860) 399-6411 |
Brittany Kearney, Physical Therapist Medicare: Medicare Enrolled Practice Location: 5 Pequot Park Rd Ste 102, Westbrook, CT 06498 Phone: 860-399-6411 | |
Kevin Smith, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5 Pequot Park Rd, Suite 303, Westbrook, CT 06498 Phone: 860-399-6411 Fax: 860-399-6822 | |
Meagan Hoffman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5 Pequot Park Rd, Suite 102, Westbrook, CT 06498 Phone: 860-399-6411 Fax: 860-399-6822 | |
Rachel Barr, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5 Pequot Park Rd Ste 102, Westbrook, CT 06498 Phone: 860-399-6411 | |
Suhani Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5 Pequot Park Rd Ste 102, Westbrook, CT 06498 Phone: 860-399-6411 Fax: 860-399-6822 | |
Jaclyn Skirkanich, Physical Therapist Medicare: Medicare Enrolled Practice Location: 5 Pequot Park Rd Ste 102, Westbrook, CT 06498 Phone: 860-399-6411 Fax: 860-399-6822 |