KENNETH JAY IVERSON (MD) – Family Medicine Physician, NPI 1124065313

KENNETH JAY IVERSON (MD) is a healthcare provider. based in Groton, Connecticut. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. ME0061931 (FL). The NPI Number for KENNETH JAY IVERSON (MD) is 1124065313

Main info

Male
Name
KENNETH JAY IVERSON (MD)
NPI
1124065313
Phone
(860) 694-2377
Address
RTE 12 BLDG 449 ATTN PROFESSIONAL AFFAIRS
Enumeration Date
31 May 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for KENNETH JAY IVERSON (MD)

  • RTE 12 BLDG 449 ATTN PROFESSIONAL AFFAIRS

    NAVAL HEALTH CARE NEW ENGLAND GROTON

    GROTON, CT 063495600

    Phone: (860) 694-2377

    Fax: (860) 694-2590

    Type: Mailing

  • Naval Health Clinic New England, 43, Smith Road, Ward 1, Newport, Newport County, Rhode Island, 02840, United States

    NAVAL HEALTH CARE NEW ENGLAND NEWPORT

    NEWPORT, RI 028411002

    Phone: (860) 694-2377

    Fax: (860) 694-3590

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06349)

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Reviews

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Frequently asked questions

Can I verify KENNETH JAY IVERSON (MD) with an NPI only?
You can start verification with NPI 1124065313 for KENNETH JAY IVERSON (MD), then check state licensing separately.
Is KENNETH JAY IVERSON (MD) listed as active for patients and plans?
The listing shows KENNETH JAY IVERSON (MD) as active in the NPI system.
What healthcare role does KENNETH JAY IVERSON (MD) hold?
Scheduling teams often label KENNETH JAY IVERSON (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does KENNETH JAY IVERSON (MD) serve?
KENNETH JAY IVERSON (MD)'s listing highlights Groton, Connecticut; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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