Individual provider · Type 1 NPI

Kevin Michael Chandon, PA-C

Medical Physician Assistant · Waterbury, CT

NPI number 1720285380 Active

Practice location

64 Robbins St
Waterbury, CT 06708-2613

Mailing address

48 Walnut St
Thomaston, CT 06787-1540

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X011879 (NY)
Physician Assistant 363A00000X002550 (CT)
Medical Physician Assistant Primary 363AM0700X002550 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1720285380

Kevin Michael Chandon, PA-C's National Provider Identifier is 1720285380, issued on Jun 28, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Waterbury, CT. The record was last updated on Dec 24, 2018.