Individual
MS. MELANIE J KIROUAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
538 LITCHFIELD ST STE 104, TORRINGTON, CT 06790-6669
(860) 496-6257
(860) 496-6219
Mailing address
538 LITCHFIELD ST STE 104, TORRINGTON, CT 06790-6669
(860) 496-6257
(860) 496-6219
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5778
CT
363AM0700X
Medical Physician Assistant
PA1772
MA
363AS0400X
Surgical Physician Assistant
PA1772
MA
Other
Enumeration date
10/11/2005
Last updated
09/18/2025
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