Kenneth Jay Iverson in Groton - Family Medicine
Kenneth Jay Iverson - NPI 1124065313
Kenneth Jay Iverson is a Family Medicine in Groton, Connecticut. Kenneth Jay Iverson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenneth Jay Iverson is 1124065313. The last update date is 2007-07-08.
Kenneth Jay Iverson's current location address is Rte 12 Bldg 449 Attn Professional Affairs, Groton, Connecticut. You can contact this provider via phone number 8606942377 and fax number 8606942590. The mailing address for Kenneth Jay Iverson is Rte 12 Bldg 449 Attn Professional Affairs, Groton, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Jay Iverson |
|---|---|
| Address | Rte 12 Bldg 449 Attn Professional Affairs, Groton, Connecticut |
| Phone Number | 8606942377 |
| Fax Number | 8606942590 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124065313 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Rte 12 Bldg 449 Attn Professional Affairs |
|---|---|
| City | Groton |
| State | Connecticut (CT) |
| Post Code | 63495600 |
| Phone Number | 8606942377 |
| Fax Number | 8606942590 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME0061931 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the Kenneth Jay Iverson's 1124065313?
The Kenneth Jay Iverson's NPI (National Provider Identifier) Number is 1124065313. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kenneth Jay Iverson is physically located?
The Kenneth Jay Iverson is physically situated at the following address: Rte 12 Bldg 449 Attn Professional Affairs, Groton, CT, 63495600.
What is Kenneth Jay Iverson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenneth Jay Iverson's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1124065313 to Kenneth Jay Iverson?
The Centers for Medicare & Medicaid Services assigned the 1124065313 to Kenneth Jay Iverson on 2006-05-31.
As of what date were the details pertaining to Kenneth Jay Iverson last refreshed?
The information related to the Kenneth Jay Iverson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY