Kyle Mccormack, PA-C
Physician Assistant, Medical in West Haven, Connecticut
1669751178- Practice location
- 1 Cellini Pl Ste 102, West Haven, CT 06516-1666
- Phone
- 203-932-6481
- Fax
- 203-932-4051
- Last updated
- January 8, 2024
Kyle Mccormack is a Physician Assistant, Medical based in West Haven, CT. Kyle Mccormack practices in West Haven, CT and has the professional credentials of PA-C. The NPI Number for Kyle Mccormack is 1669751178 and holds a License No. 002598 (CT). The current practice location address for Kyle Mccormack is 1 Cellini Pl Ste 102, West Haven, CT 06516-1666 and can be reached out via phone at 203-932-6481 and via fax at 203-932-4051.
Provider Profile Details
- NPI Number
- 1669751178
- Provider Name
- Kyle Mccormack
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Cellini Pl Ste 102, West Haven, CT 06516-1666
- Phone Number
- 203-932-6481
- Fax Number
- 203-932-4051
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 15, 2011
- Last Update Date
- January 8, 2024
- Certification Date
- January 8, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Cellini Pl Ste 102
West Haven, CT 06516-1666 - City
- West Haven
- State
- Connecticut
- Zip
- 06516-1666
- Phone Number
- 203-932-6481
- Fax Number
- 203-932-4051
Provider Business Mailing Address Details
- Address
- 20 York Street, Cb-2041
New Haven, CT 06510-3220 - City
- New Haven
- State
- CT
- Zip
- 06510-3220
- Phone Number
- 203-688-4748
- Fax Number
- 203-688-4740
License Information
- License Number
- 002598
- 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 Kyle Mccormack, PA-C?
The NPI number of Kyle Mccormack, PA-C is 1669751178. It was assigned on August 15, 2011 and is currently active in the NPPES registry.
What is the specialty of Kyle Mccormack, PA-C?
Kyle Mccormack, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 002598.
Where does Kyle Mccormack, PA-C practice?
The practice location is 1 Cellini Pl Ste 102, West Haven, CT 06516-1666. The office can be reached at 203-932-6481 (phone) or 203-932-4051 (fax).
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 1669751178 directly on the NPPES registry website.