Shane P Kinsey, PAC
Physician Assistant, Medical in Wethersfield, Connecticut
1225015795- Practice location
- 1260 Silas Deane Highway, Wethersfield, CT 06109
- Phone
- 860-529-1100
- Fax
- —
- Last updated
- December 21, 2007
Shane P Kinsey is a Physician Assistant, Medical based in Wethersfield, CT. Shane P Kinsey practices in Wethersfield, CT and has the professional credentials of PAC. The NPI Number for Shane P Kinsey is 1225015795 and holds a License No. 001450 (CT). The current practice location address for Shane P Kinsey is 1260 Silas Deane Highway, Wethersfield, CT 06109 and can be reached out via phone at 860-529-1100.
Provider Profile Details
- NPI Number
- 1225015795
- Provider Name
- Shane P Kinsey
- Credential
- PAC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1260 Silas Deane Highway, Wethersfield, CT 06109
- Phone Number
- 860-529-1100
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 27, 2005
- Last Update Date
- December 21, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1260 Silas Deane Highway
Wethersfield, CT 06109 - City
- Wethersfield
- State
- Connecticut
- Zip
- 06109
- Phone Number
- 860-529-1100
Provider Business Mailing Address Details
- Address
- Po Box 1086
Hartford Medical Group
Wilbraham, MA 01095-1086 - City
- Wilbraham
- State
- MA
- Zip
- 01095-1086
- Phone Number
- 508-595-0531
- Fax Number
- 508-829-5367
License Information
- License Number
- 001450
- License State
- CT
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shane P Kinsey, PAC?
The NPI number of Shane P Kinsey, PAC is 1225015795. It was assigned on December 27, 2005 and is currently active in the NPPES registry.
What is the specialty of Shane P Kinsey, PAC?
Shane P Kinsey, PAC is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 001450.
Where does Shane P Kinsey, PAC practice?
The practice location is 1260 Silas Deane Highway, Wethersfield, CT 06109. The office can be reached at 860-529-1100 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225015795 directly on the NPPES registry website.