Individual provider · Type 1 NPI
Christopher George Kaczegowicz
Psychiatric/Mental Health Nurse Practitioner · Middletown, CT
NPI number
1063233591
Active
Practice location
1586 Country Club Rd
Middletown, CT 06457-2343
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 181598 (CT) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 14966 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1063233591
Christopher George Kaczegowicz's National Provider Identifier is 1063233591, issued on Oct 17, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Middletown, CT. The record was last updated on Jun 26, 2025.