Individual
KEVIN CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
35 KENNEDY DR, PUTNAM, CT 06260-1939
(860) 963-3883
(860) 928-8299
Mailing address
22 BERKSHIRE DR, EAST HAMPTON, CT 06424-1307
(860) 841-9495
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/29/2018
Last updated
04/06/2026
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