Individual
KRISTEN LEIGH EASEY WACKELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7 ELM ST STE 201, ENFIELD, CT 06082-3670
(860) 636-2010
Mailing address
126 WOODRUFF RD, FARMINGTON, CT 06032-2030
(941) 284-3850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6200
CT
363AM0700X
Medical Physician Assistant
PA9108005
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012578900
—
FL
Enumeration date
07/02/2014
Last updated
08/05/2026
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