Individual
KRISTEN JEAN WILMOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
189 STORRS RD, MANSFIELD CENTER, CT 06250-1683
(860) 456-1311
Mailing address
39 WOODSTOCK RD, POMFRET CENTER, CT 06259-1226
(203) 929-9410
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4200
CT
363AS0400X
Surgical Physician Assistant
23.004200
CT
Other
Enumeration date
06/27/2018
Last updated
11/20/2025
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