Individual
GRESI KELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2165 DIXWELL AVE, HAMDEN, CT 06514-2116
(860) 430-1246
Mailing address
240 CONGRESS AVE APT 407, NEW HAVEN, CT 06519-1410
(860) 849-2324
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4810
CT
Other
Enumeration date
09/15/2020
Last updated
02/16/2023
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