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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

BRENDAN D KILLORY, MD
85 SEYMOUR ST
SUITE 709
HARTFORD, CT06106-5501
 Phone: 860-696-2290
 Fax: 860-696-2280
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 14 Physician/Neurosurgery
Indicates primary specialty

NPI Profile & details for BRENDAN D KILLORY · (Male)

NPI Number 1043490097
Credentials MD
Entity Individual
Enumeration date 11/07/2007
Last updated 12/12/2011 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
AZ License # 80789
CT License # 049554
CT Medicaid 1043490097
CT Medicare PIN 1043490097
AZ Other 80789 TRAINING PERMIT
CT Other 7432716 CIGNA
CT Other 049554 CONNECTICARE
CT Other 7432716 GREAT WEST HEALTHCARE
CT Other P4362821 OXFORD
Hospital affiliation(s)
  • HARTFORD HOSPITAL - (Acute Care)
    80 SEYMOUR STREET
    HARTFORD, CT 06102
  • 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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