Individual
MR. RYAN CONNOR KISSANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1450 CHAPEL ST, EMERGENCY DEPARTMENT, NEW HAVEN, CT 06511-4405
(860) 817-1860
Mailing address
145 BARTLETT DR, MADISON, CT 06443-8201
(860) 817-1860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002542
CT
Other
Enumeration date
02/17/2011
Last updated
07/21/2016
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