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Individual

MRS. KAYLEE NICOLE GENGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
80 SEYMOUR ST, HARTFORD, CT 06106-3315
(860) 545-5000
Mailing address
215 DUG RD, SOUTH GLASTONBURY, CT 06073-2006
(860) 682-3415

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
6644
CT

Other

Enumeration date
02/23/2024
Last updated
03/03/2026
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