Individual
JENNA KAITLYN PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6 MAIN ST, DURHAM, CT 06422-2130
(860) 358-5020
Mailing address
32 HOG HILL RD, EAST HAMPTON, CT 06424-1821
(860) 682-0851
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4968
CT
Other
Enumeration date
09/25/2020
Last updated
10/21/2025
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