Mccrystal, Kevin Thomas

Mccrystal, Kevin Thomas is an individual health care provider with primary practice located at 81 Menden Avenue Bradley Memorial Hospital, Southington CT 06489. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mccrystal, Kevin Thomas can be contacted via phone (860) 276-5208.

Contact Information

Primary practice address
81 Menden Avenue Bradley Memorial Hospital Southington CT 06489
Phone: (860) 276-5208
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001356 Connecticut

Profile Details

NPI number 1730287350
LBN Legal business name Mccrystal, Kevin Thomas
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Sep 23rd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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