Individual
KYLIE MARIE FITZPATRICK
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) 714-5237
(860) 714-8097
Mailing address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-5237
(860) 714-8097
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4456
CT
Other
Enumeration date
04/29/2019
Last updated
08/03/2022
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