Provider Demographics
NPI:1811183460
Name:R. KENNETH LAFRENIER M.D. P.C.
Entity type:Organization
Organization Name:R. KENNETH LAFRENIER M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:R. KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFRENIER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD, PC
Authorized Official - Phone:860-313-4499
Mailing Address - Street 1:41 N MAIN ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-1972
Mailing Address - Country:US
Mailing Address - Phone:860-313-4499
Mailing Address - Fax:860-313-4407
Practice Address - Street 1:41 N MAIN ST
Practice Address - Street 2:SUITE 210
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-1972
Practice Address - Country:US
Practice Address - Phone:860-313-4499
Practice Address - Fax:860-313-4407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty