1376762161 NPI number — KEVIN PATRICK FITZSIMMONS MHS, PA-C

Table of content: KEVIN PATRICK FITZSIMMONS MHS, PA-C (NPI 1376762161)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376762161 NPI number — KEVIN PATRICK FITZSIMMONS MHS, PA-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FITZSIMMONS
Provider First Name:
KEVIN
Provider Middle Name:
PATRICK
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MHS, PA-C
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376762161
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/19/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
29 ROLLING GLEN DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW MILFORD
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06776-2243
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
860-354-5765
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
282 WASHINGTON STREET
Provider Second Line Business Practice Location Address:
CONNECTICUT CHILDREN'S MEDICAL CENTER
Provider Business Practice Location Address City Name:
HARTFORD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06106-3322
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-284-0220
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/24/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363AS0400X , with the licence number:  23.002648 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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