Individual
MRS. MACKENZIE ROSE KILPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
988 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4227
(860) 493-1950
Mailing address
988 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4227
(860) 493-1950
(860) 493-1961
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4639
CT
363AM0700X
Medical Physician Assistant
Primary
4639
CT
Other
Enumeration date
11/20/2019
Last updated
05/08/2026
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