Individual
KELLY ANN GILDEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL EMERGENCY MEDICINE, HARTFORD, CT 06102-5037
(860) 972-0000
Mailing address
P.O. BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 972-9047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003098
CT
363A00000X
Physician Assistant
PA4780
MA
363AM0700X
Medical Physician Assistant
003098
CT
363AS0400X
Surgical Physician Assistant
003098
CT
Other
Enumeration date
08/21/2013
Last updated
02/13/2024
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