Individual
MRS. KRISTIN LEE GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000
Mailing address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000
(203) 741-6569
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003563
CT
363AM0700X
Medical Physician Assistant
003563
CT
363AS0400X
Surgical Physician Assistant
Primary
003563
CT
Other
Enumeration date
10/29/2013
Last updated
04/20/2026
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