Individual
MR. KEVIN CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
74 COE RD, DURHAM, CT 06422-3603
(203) 464-4246
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
358306
CT
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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