Individual
KYM A PALLATTO
Active
Individual
KYM A PALLATTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9106272
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128000
CONNECTICARE
CT
01
—
290001280CT01
BC
CT
Enumeration date
05/19/2006
Last updated
11/19/2018
Update your record
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