Individual
MS. KIRSTEN DEEDS GRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 KENNEDY DR, SUITE L201, TORRINGTON, CT 06790-3060
(860) 806-0557
Mailing address
333 KENNEDY DR, SUITE L201, TORRINGTON, CT 06790-3060
(860) 806-0557
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2558
CT
363A00000X
Physician Assistant
PA4125
MA
Other
Enumeration date
01/31/2011
Last updated
04/01/2015
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