Kenton Lane Dover, MD
Internal Medicine, Pulmonary Disease in New Haven, CT. Individual provider (NPI-1).
Details
- NPI
- 1063857902
- Entity type
- Individual (NPI-1)
- Name
- Kenton Lane Dover
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 6, 2013
- Certification date
- Dec 7, 2021
- Last updated
- Dec 7, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PULMONARY DISEASE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | 2017-00171 | NC | Yes |
| 207R00000X | Internal Medicine | 2017-00171 | NC | |
| 207RC0200X | Internal Medicine, Critical Care Medicine | 64852 | CT | |
| 207RP1001X | Internal Medicine, Pulmonary Disease | 64852 | CT |
Practice location
20 York StNew Haven, CT 06510-3220
Phone 203-688-4242
Mailing address
P.O. Box 208057 300 Cedar Street Tac - 441 SouthPulmonary And Critical Care Section
New Haven, CT 06520-8057
Phone 203-785-4162 · Fax 203-785-3826
Other practice locations
Chapel Hill, NC 27514-4226
Phone 974-874-1000
Hillsborough, NC 27278-9078
Phone 984-215-2000
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.
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All 72 Pulmonary Disease Physician providers in New Haven · All 10,633 providers in New Haven
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