Individual
KRISTIN LEVESQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
41 BREWSTER RD, BRISTOL, CT 06010-5161
(860) 584-8291
Mailing address
41 BREWSTER RD, BRISTOL, CT 06010-5161
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3574
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669822532
—
CT
Enumeration date
06/21/2016
Last updated
01/13/2022
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