Individual
KYLA GIANNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 RETREAT AVE, SUITE 811, HARTFORD, CT 06106-2528
(860) 522-5712
(860) 520-4270
Mailing address
100 RETREAT AVE, SUITE 811, HARTFORD, CT 06106-2528
(860) 522-5712
(860) 520-4270
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA3807
MA
363AM0700X
Medical Physician Assistant
Primary
2390
CT
Other
Enumeration date
08/05/2009
Last updated
05/19/2021
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