Individual provider · Type 1 NPI

Kyle Surprenant

Medical Physician Assistant · New Haven, CT

NPI number 1033894969 Active

Practice location

20 York St
New Haven, CT 06510-3220

Call (203) 688-4242 Map

Mailing address

91 Elm St Apt 210A
Manchester, CT 06040-8603

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700X23.006230 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1033894969

Kyle Surprenant's National Provider Identifier is 1033894969, issued on Jun 19, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Haven, CT. The record was last updated on Aug 11, 2023.