Individual
KAITLIN SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
32 SEYMOUR ST, HARTFORD, CT 06106
(855) 442-4373
Mailing address
25 RUDDEN LN, COLCHESTER, CT 06415-2807
(860) 304-2262
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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