NPI 1487291829 · live from the CMS NPI Registry
Kaitland Ard, PA-C
Physician Assistant, Medical in Hartford, CT. National Provider Identifier 1487291829, active.
NPI record
| NPI | 1487291829 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102 |
| Practice phone | 860-972-5022 |
| Mailing address | 950 E Harvard Ave Ste 550, Denver, CO 80210 |
| Enumerated | December 4, 2019 |
| Last updated | November 16, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 4789 (CT) |
| Physician Assistant | 363A00000X | PA.0007035 (CO) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Physician Assistant, Medical primary | 363AM0700X | 004789 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.