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Kevin Michael Rooney

Student in an Organized Health Care Education/Training Program in New Haven, CT. Individual provider (NPI-1).

NPI number1003669482
StatusActive
Last updated in NPPESMay 15, 2024

Details

NPI
1003669482
Entity type
Individual (NPI-1)
Name
Kevin Michael Rooney
Sex
Male
Sole proprietor
No
Enumeration date
Apr 8, 2024
Certification date
May 15, 2024
Last updated
May 15, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

20 York St
New Haven, CT 06510-3220

Phone 203-688-4242

Mailing address

20 York St
New Haven, CT 06510-3220

Phone 203-688-4242

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in New Haven, CT

All 1,767 Student in an Organized Health Care Education/Training Program providers in New Haven · All 10,633 providers in New Haven

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