Whalio Doctors

NPI 1730186222

Kevin J Reagan, MD

Practitioner Sports Medicine (Neuromusculoskeletal Medicine) Physician Putnam, CT

Practice location

Address
35 Kennedy Dr, Putnam, CT 06260-1939
Phone
(860) 963-2133
Fax
(860) 963-8955

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 036021 (CT)

Registry record

NPI
1730186222
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Jun 2005
Record last updated
13 May 2015

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.