Individual
RICHARD SAMUEL KISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2800 MAIN ST, ST.VINCENT'S MULTISPECIALTY GROUP, BRIDGEPORT, CT 06606-4201
(203) 576-6133
Mailing address
125 EDGEFIELD AVE, MILFORD, CT 06460-7833
(203) 878-7717
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001085
CT
Other
Enumeration date
06/28/2006
Last updated
12/19/2025
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