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Individual

REBECCA KRYSTAL KANADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-2975
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
12313
MN
363A00000X
Physician Assistant
6161
AZ
363AM0700X
Medical Physician Assistant
Primary
7396
CT
363AS0400X
Surgical Physician Assistant
Primary
026658
NY

Other

Enumeration date
10/09/2015
Last updated
05/08/2026
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