Individual
KEVIN GREGG BILLINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510
(203) 688-4242
Mailing address
YALE NEW HAVEN HOSPITAL, 20 YORK STREET, NEW HAVEN, CT 06510
(203) 785-3577
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
64587
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298450
—
OR
Enumeration date
08/03/2006
Last updated
12/06/2019
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