Individual provider · Type 1 NPI

Shane P. Kinsey, PAC

Medical Physician Assistant · Wethersfield, CT

NPI number 1225015795 Active

Practice location

1260 Silas Deane Highway
Wethersfield, CT 06109

Call (860) 529-1100 Map

Mailing address

PO Box 1086, Hartford Medical Group
Wilbraham, MA 01095-1086

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X001450 (CT)

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1225015795

Shane P. Kinsey, PAC's National Provider Identifier is 1225015795, issued on Dec 27, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wethersfield, CT. The record was last updated on Dec 21, 2007.