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Contact Information

JEFFREY G KEGEL, MD
5 FOUNDERS ST
WILLIMANTIC, CT06226
 Phone: 860-456-2898
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JEFFREY G KEGEL · (Male)

NPI Number 1619919313
Status Active
Credentials MD
Entity Individual
Enumeration date 06/10/2006
Last updated 08/02/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 35405
  • PA Medicaid 0014547140005
  • PA Other 6887720 AETNA HMO
  • PA Other 5989452 AETNA PPO
  • PA Other 41478MD045251E HEALTH PARTNERS
  • PA Other 698880 HIGHMARK BLUE SHIELD
  • PA Other 3513564000 KEYSTONE IBC
  • PA Other 30062352 KEYSTONE MERCY
Hospital affiliation(s)
  • WILLIAM W BACKUS HOSPITAL - (Acute Care)
    326 WASHINGTON ST
    NORWICH, CT 06360
  • WINDHAM COMM MEMORIAL HOSPITAL & HATCH HOSP - (Acute Care)
    112 MANSFIELD AVE
    WILLIMANTIC, CT 06226
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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