NPI 1174595847

Kenneth Scott Backman, MD

Practitioner Allergy & Immunology Physician Fairfield, CT

Practice location

Address: 55 Walls Dr STE. 405, Fairfield, CT 06824-5163
Phone: (203) 259-7070
Fax: (203) 254-7402

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 038854 (CT)

Other Allergy & Immunology providers in Connecticut →

Registry record

NPI: 1174595847
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Feb 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.