Healthcare Provider Details

I. General information

NPI: 1619934577
Provider Name (Legal Business Name): KAPAUNER R LEWIS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 08/29/2023
Certification Date: 08/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 WASHINGTON ST
HARTFORD CT
06106-3322
US

IV. Provider business mailing address

PO BOX 950195 DEPT 86236
LOUISVILLE KY
40295-0195
US

V. Phone/Fax

Practice location:
  • Phone: 860-545-9520
  • Fax: 860-545-9545
Mailing address:
  • Phone: 502-473-2100
  • Fax: 502-459-6461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25073
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number25073
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: