Individual
KAITLYN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706
(203) 709-6000
Mailing address
136 TOWNE HOUSE RD, HAMDEN, CT 06514-2111
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/08/2016
Last updated
05/14/2018
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