Individual provider · Type 1 NPI

Kevin Russell Dougherty, MD

Cardiovascular Disease Physician · Hartford, CT

NPI number 1114188711 Active

Practice location

85 Seymour St, Suite 719
Hartford, CT 06106-5501

Call (860) 522-0604 Map

Fax (860) 522-1761

Mailing address

305 Western Blvd, Suite 100
Glastonbury, CT 06033-4380

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician 207RC0000X247283 (MA)
Cardiovascular Disease Physician Primary 207RC0000X52940 (CT)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1114188711

Kevin Russell Dougherty, MD's National Provider Identifier is 1114188711, issued on Jun 17, 2008. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Hartford, CT. The record was last updated on May 20, 2015.