Individual
KAITLYN FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-4000
Mailing address
15 FOX RUN, NEW MILFORD, CT 06776-3210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3716
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/20/2016
Last updated
10/21/2016
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