Individual provider · Type 1 NPI

Kristin Lee Gillis, PA-C

Surgical Physician Assistant · Waterbury, CT

NPI number 1649608738 Active

Practice location

56 Franklin St
Waterbury, CT 06706-1253

Call (203) 709-6000 Map

Other practice locations

  • 75 Francis St, Boston, MA 02115-6110 · (617) 732-5500
  • 237A State Rd, North Dartmouth, MA 02747-2612 · (508) 996-3991

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X003563 (CT)
Surgical Physician Assistant Primary 363AS0400X003563 (CT)
Physician Assistant 363A00000X003563 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1649608738

Kristin Lee Gillis, PA-C's National Provider Identifier is 1649608738, issued on Oct 29, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Waterbury, CT. The record was last updated on Apr 20, 2026.