Individual
KRISTEN HOPE SICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(407) 729-0865
Mailing address
250 GREENE ST # 240-202, NEW HAVEN, CT 06511-7424
(407) 729-0865
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7012
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/01/2024
Last updated
03/05/2025
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