Individual
KYLA D'ANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1260 SILAS DEANE HWY STE 109, WETHERSFIELD, CT 06109-4363
(860) 258-3477
Mailing address
1260 SILAS DEANE HWY STE 109, WETHERSFIELD, CT 06109-4363
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
66411
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2014
Last updated
08/25/2020
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