Mrs. Kristin L Gillis, PA-C
Physician Assistant, Surgical in Waterbury, Connecticut
1649608738- Practice location
- 56 Franklin St, Waterbury, CT 06706-1253
- Phone
- 203-709-6000
- Fax
- —
- Last updated
- April 20, 2026
Kristin Lee Gillis is a Physician Assistant, Surgical based in Waterbury, CT. Kristin Lee Gillis practices in Waterbury, CT and has the professional credentials of PA-C. The NPI Number for Kristin Lee Gillis is 1649608738 and holds a License No. 003563 (CT). The current practice location address for Kristin Lee Gillis is 56 Franklin St, Waterbury, CT 06706-1253 and can be reached out via phone at 203-709-6000.
Provider Profile Details
- NPI Number
- 1649608738
- Provider Name
- Kristin Lee Gillis
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 56 Franklin St, Waterbury, CT 06706-1253
- Phone Number
- 203-709-6000
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 29, 2013
- Last Update Date
- April 20, 2026
- Certification Date
- April 20, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 56 Franklin St
Waterbury, CT 06706-1253 - City
- Waterbury
- State
- Connecticut
- Zip
- 06706-1253
- Phone Number
- 203-709-6000
Provider Business Mailing Address Details
- Address
- 56 Franklin St
Waterbury, CT 06706-1253 - City
- Waterbury
- State
- CT
- Zip
- 06706-1253
- Phone Number
- 203-709-6000
- Fax Number
- 203-741-6569
License Information
- License Number (1)
- 003563
- License State (1)
- CT
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- 003563
- License State (2)
- CT
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X · Primary
- License Number (3)
- 003563
- License State (3)
- CT
- Taxonomy (3)
- Physician Assistant · 363A00000X
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 Mrs. Kristin L Gillis, PA-C?
The NPI number of Mrs. Kristin L Gillis, PA-C is 1649608738. It was assigned on October 29, 2013 and is currently active in the NPPES registry.
What is the specialty of Mrs. Kristin L Gillis, PA-C?
Mrs. Kristin L Gillis, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CT under license number 003563.
Where does Mrs. Kristin L Gillis, PA-C practice?
The practice location is 56 Franklin St, Waterbury, CT 06706-1253. The office can be reached at 203-709-6000 (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 1649608738 directly on the NPPES registry website.