Individual provider · Type 1 NPI

Albert Kissling Jr., PA

Surgical Physician Assistant · Hartford, CT

NPI number 1669474250 Active

Practice location

114 Woodland St, Dept Of Surgery
Hartford, CT 06105-1208

Fax (860) 714-8096

Mailing address

1000 Asylum Ave, Suite 2109A
Hartford, CT 06105-1770

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X000179 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1669474250

Albert Kissling Jr., PA's National Provider Identifier is 1669474250, issued on Aug 12, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hartford, CT. The record was last updated on Feb 24, 2009.