Kevin J Tally, M.D.
Internal Medicine, Cardiovascular Disease in Hartford, CT. Individual provider (NPI-1).
NPI number1285624809
StatusActive
Last updated in NPPESMay 20, 2015
Details
- NPI
- 1285624809
- Entity type
- Individual (NPI-1)
- Name
- Kevin J Tally
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2005
- Last updated
- May 20, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 042086 | CT | Yes |
| 207UN0901X | Nuclear Medicine, Nuclear Cardiology | 042086 | CT |
Practice location
85 Seymour StSuite 719
Hartford, CT 06106-5501
Phone 860-522-0604 · Fax 860-522-1761
Mailing address
305 Western BlvdSuite 100
Glastonbury, CT 06033-4380
Phone 860-522-0604 · Fax 860-522-1761
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