Individual
KIMBERLY VANPELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-9000
Mailing address
10 COLUMBUS BLVD, HARTFORD, CT 06106-1976
(607) 592-4771
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00213100
NJ
363A00000X
Physician Assistant
3315
CT
363AS0400X
Surgical Physician Assistant
Primary
3315
CT
Other
Enumeration date
03/11/2009
Last updated
11/25/2022
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