Individual
KAITLYN SHORTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-6000
Mailing address
1290 SILAS DEANE HWY, HARTFORD HEALTHCARE-CVO, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5045
CT
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/17/2020
Last updated
10/05/2021
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