MEDICARE: KENNETH R DARDICK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	17773	CT

General Provider Information

NPI Number	:	1316930266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH R DARDICK MD

Provider Business Mailing Address
First Line	:	34 PROFESSIONAL PARK RD
Second Line	:
City	:	STORRS
State	:	CT
Zip	:	06268
Country	:	US
Telephone Number	:	860-487-0002
Fax Number	:	860-429-1663

Provider Business Practice Location Address
First Line	:	34 PROFESSIONAL PARK RD.
Second Line	:
City	:	STORRS
State	:	CT
Zip	:	06268-2537
Country	:	US
Telephone Number	:	860-487-0002
Fax Number	:	860-429-1663

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	04/12/2011

Similar Medicare Providers

1467459792 — DR. JOSEPH WAYNE KOZACHEK MD
Practice Location Address:

441 GURLEYVILLE RD
STORRS, CT
06268-1415

Practice Phone: 860-429-6245
Practice Fax:

1497755870 — NEW SAMARITAN CORPORATION
Practice Location Address:

100 WARREN CIRCLE
STORRS, CT
06268

Practice Phone: 860-487-2300
Practice Fax: 860-487-0022

1033111562 — DR. JOY SCHLOTON ELWELL N.P.
Practice Location Address:

1 ROYCE CIR , SUITE 104
STORRS, CT
06268-2260

Practice Phone: 860-487-9200
Practice Fax: 860-487-9222

1275526121 — NELSON C WALKER MD
Practice Location Address:

34 PROFESSIONAL PARK RD.
STORRS, CT
06268

Practice Phone: 860-487-0002
Practice Fax: 860-429-1663

1720071681 — ROSS L WINAKOR MD
Practice Location Address:

34 PROFESSIONAL PARK RD.
STORRS, CT
06268

Practice Phone: 860-487-0002
Practice Fax: 860-429-1663

1306830914 — MR. DOUGLAS JAMES CASA PHD, ATC
Practice Location Address:

75 MAPLE RD
STORRS, CT
06268-2568

Practice Phone: 860-429-7720
Practice Fax:

Directions to “ KENNETH R DARDICK MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.