Individual
KRISTIN KATHERINE MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-5191
Mailing address
125 WASHINGTON ST APT 302, NORWALK, CT 06854-3043
(336) 684-4662
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002463
CT
Other
Enumeration date
09/29/2010
Last updated
12/26/2017
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