Provider Demographics
NPI:1174812986
Name:KREYCHMAN, ALENA (MD)
Entity type:Individual
Prefix:DR
First Name:ALENA
Middle Name:
Last Name:KREYCHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 TALCOTT GLN UNIT D
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-3523
Mailing Address - Country:US
Mailing Address - Phone:860-978-2853
Mailing Address - Fax:
Practice Address - Street 1:4 TALCOTT GLN UNIT D
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-3523
Practice Address - Country:US
Practice Address - Phone:860-978-2853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0467882085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology