Individual
KYLE JEFFREY PUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-4309
Mailing address
105 S ORCHARD ST, WALLINGFORD, CT 06492-4132
(860) 874-6174
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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