Individual provider · Type 1 NPI

Kristen Grace Shubert

Surgical Physician Assistant · Hartford, CT

NPI number 1730949686 Active

Practice location

80 Seymour St
Hartford, CT 06106-3315

Call (860) 545-5000 Map

Mailing address

1075 Asylum Ave
Hartford, CT 06105-2455

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X6593 (CT)
Surgical Physician Assistant Primary 363AS0400X6593 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1730949686

Kristen Grace Shubert's National Provider Identifier is 1730949686, issued on Mar 19, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hartford, CT. The record was last updated on May 7, 2025.