National Provider Identifier Database

KENNETH R LISI, MD – NPI #1861499824
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

KENNETH R LISI, MD
2979 MAIN ST
BRIDGEPORT, CT06606-4252
Phone: 203-333-8800
Fax: 203-384-5157
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for KENNETH R LISI

NPI Number 1861499824
Credentials MD
Entity Individual
Enumeration date 07/06/2005
Last updated 05/31/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • CT License #: 013087
Hospital affiliation n/a

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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