Individual
KEVIN PATRICK FITZSIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHS, PA-C
Contact information
Practice address
282 WASHINGTON STREET, CONNECTICUT CHILDREN'S MEDICAL CENTER, HARTFORD, CT 06106-3322
(860) 284-0220
Mailing address
29 ROLLING GLEN DR, NEW MILFORD, CT 06776-2243
(860) 354-5765
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
23.002648
CT
Other
Enumeration date
04/24/2007
Last updated
11/19/2011
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