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General NPI Number Information
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NPI Number | 1811183460
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Entity Type | Organization
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Legal Business Name | R. KENNETH LAFRENIER M.D. P.C.
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 09/18/2007
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Provider Practice Location Address
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Address Line | 41 N MAIN ST SUITE 210
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City | WEST HARTFORD
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State | CT
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Zip | 06107-1972
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Country | US
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Telephone | 860-313-4499
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Fax | 860-313-4407
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Provider Business Mailing Address
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Address Line | 41 N MAIN ST SUITE 210
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City | WEST HARTFORD
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State | CT
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Zip | 06107-1972
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Country | US
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Telephone | 860-313-4499
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Fax | 860-313-4407
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. R. KENNETH LAFRENIER JR.
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Credential | MD., PC
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Telephone | 860-313-4499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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