Individual
KAITLYN A LYVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
110 COMMERCE DR, SHELTON, CT 06484-6244
(203) 929-7331
(203) 925-0330
Mailing address
67 MAPLE AVE, DERBY, CT 06418-1328
(203) 929-7331
(203) 925-0330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7069
CT
Other
Enumeration date
09/23/2016
Last updated
04/14/2025
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