Kacper Kisala, PA-C
Physician Assistant, Surgical in Enfield, Connecticut
1518704030- Practice location
- 148 Hazard Ave, Enfield, CT 06082-4520
- Phone
- 860-763-7650
- Fax
- —
- Last updated
- July 19, 2024
Kacper Kisala is a Physician Assistant, Surgical based in Enfield, CT. Kacper Kisala practices in Enfield, CT and has the professional credentials of PA-C. The NPI Number for Kacper Kisala is 1518704030 and holds a License No. 6665 (CT). The current practice location address for Kacper Kisala is 148 Hazard Ave, Enfield, CT 06082-4520 and can be reached out via phone at 860-763-7650.
Provider Profile Details
- NPI Number
- 1518704030
- Provider Name
- Kacper Kisala
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 148 Hazard Ave, Enfield, CT 06082-4520
- Phone Number
- 860-763-7650
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 11, 2024
- Last Update Date
- July 19, 2024
- Certification Date
- July 19, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 148 Hazard Ave
Enfield, CT 06082-4520 - City
- Enfield
- State
- Connecticut
- Zip
- 06082-4520
- Phone Number
- 860-763-7650
Provider Business Mailing Address Details
- Address
- 14 Sam West RD
Southwick, MA 01077-9734 - City
- Southwick
- State
- MA
- Zip
- 01077-9734
- Phone Number
- 413-250-1604
License Information
- License Number
- 6665
- License State
- CT
- Taxonomy
- Physician Assistant, Surgical · 363AS0400X · 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 Kacper Kisala, PA-C?
The NPI number of Kacper Kisala, PA-C is 1518704030. It was assigned on July 11, 2024 and is currently active in the NPPES registry.
What is the specialty of Kacper Kisala, PA-C?
Kacper Kisala, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CT under license number 6665.
Where does Kacper Kisala, PA-C practice?
The practice location is 148 Hazard Ave, Enfield, CT 06082-4520. The office can be reached at 860-763-7650 (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 1518704030 directly on the NPPES registry website.