Individual
KAYCIE BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4 SHAWS CV STE 101, NEW LONDON, CT 06320-4956
(860) 447-1419
Mailing address
4 SHAWS CV STE 101, NEW LONDON, CT 06320-4956
(860) 447-1419
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA100587
MA
Other
Enumeration date
01/03/2025
Last updated
03/04/2026
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