Individual
KAYLEE BODNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-4000
Mailing address
190 MCFALL RD, APALACHIN, NY 13732-3732
(607) 221-1497
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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