Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH JOSEPH PELLETIER, MBA, MHS, CCP, LP
Active Sole ProprietorKEITH JOSEPH PELLETIER, MBA, MHS, CCP, LP is a Orthotic Fitter healthcare provider located in NEW HAVEN, Connecticut. NPI 1366952863 is currently active in the NPPES registry. Verify at CMS.
Orthotic Fitter · NEW HAVEN, CT
Registration Details
- NPI Number
- 1366952863
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2017 (8.8745696678017 yrs)
- Last Updated
- Oct 10, 2017
- License
-
83.000085 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20 YORK STNEW HAVEN, CT, 065103220Browse CT providers · Browse ZIP 06510
- Phone
- 2039827226
- Primary Specialty
-
Orthotic Fitter
242T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.