Individual
KIAH WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510
(203) 688-4748
(203) 688-4740
Mailing address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
23.003778
CT
363AM0700X
Medical Physician Assistant
Primary
PA.0007318
CO
Other
Enumeration date
02/10/2017
Last updated
07/18/2022
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