Individual
KELSEY E HUKILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
396 CROMWELL AVE, ROCKY HILL, CT 06067-1828
(860) 372-4990
Mailing address
396 CROMWELL AVE, ROCKY HILL, CT 06067-1828
(860) 372-4990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3565
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3565
CT STATE LICENSING
CT
Enumeration date
05/17/2016
Last updated
09/30/2016
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