Individual
KYLA BARAJAS REDWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511
(203) 789-4135
Mailing address
1201 CORNERSTONE CT, CHESHIRE, CT 06410-1860
(207) 576-2900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-01451
NC
363A00000X
Physician Assistant
001976
CT
363AM0700X
Medical Physician Assistant
Primary
1976
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235900
—
CT
Enumeration date
10/01/2007
Last updated
05/24/2018
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