NPI 1639916067 · live from the CMS NPI Registry
Kelsey Erin Anderson, PA-C
Physician Assistant in Avon, CT. National Provider Identifier 1639916067, active.
NPI record
| NPI | 1639916067 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 385 W Main St, Avon, CT 06001 |
| Practice phone | 860-777-1280 |
| Mailing address | 41 Bridge Gate, Plymouth, MA 02360 |
| Enumerated | July 12, 2024 |
| Last updated | July 23, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.