Individual provider · Type 1 NPI

Kimberly L. Bellavance, MPAS

Surgical Physician Assistant · Hartford, CT

NPI number 1962772939 Active

Practice location

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

Call (860) 714-4694 Map

Fax (860) 714-8096

Mailing address

1000 Asylum Ave Ste 2109A
Hartford, CT 06105-1719

Other practice locations

  • 326 Washington St, Norwich, CT 06360-2740 · (860) 889-8331
  • 112 Mansfield Ave, Willimantic, CT 06226-2045 · (860) 456-9116

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X2714 (CT)

Surgical Physician Assistant: Definition to come...

484 other providers at this address

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About NPI 1962772939

Kimberly L. Bellavance, MPAS's National Provider Identifier is 1962772939, issued on Jan 9, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hartford, CT. The record was last updated on Oct 16, 2026.