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Individual

KEVIN RYAN PATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
34 MAPLE ST, NORWALK, CT 06850-3894
(203) 852-2000
Mailing address
34 MAPLE ST, NORWALK, CT 06850-3894
(585) 224-5680

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00794900
NJ
363AS0400X
Surgical Physician Assistant
Primary
5905
CT

Other

Enumeration date
06/07/2019
Last updated
08/28/2024
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