Individual
MRS. KAITLYN RAHTELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
50 OLD FIELD POINT RD FL 3, GREENWICH, CT 06830-6157
(203) 862-4000
Mailing address
50 OLD FIELD POINT RD FL 3, GREENWICH, CT 06830-6157
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3599
CT
Other
Enumeration date
06/09/2016
Last updated
02/15/2020
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