Individual provider · Type 1 NPI

Kimiko Wysocki

Medical Physician Assistant · Middletown, CT

NPI number 1891488565 Active

Practice location

1250 Silver St
Middletown, CT 06457-3946

Call (860) 346-0300 Map

Mailing address

17 Yarmouth St
Longmeadow, MA 01106-3224

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700X6210 (CT)

Medical Physician Assistant: Definition to come...

55 other providers at this address

Other medical physician assistant providers in Middletown

See all in Middletown →

About NPI 1891488565

Kimiko Wysocki's National Provider Identifier is 1891488565, issued on May 30, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Middletown, CT. The record was last updated on Aug 7, 2023.