Mr. Kevin T Mccrystal, PAC
Physician Assistant, Medical in Wethersfield, Connecticut
1730287350- Practice location
- 1290 Silas Deane Hwy, Wethersfield, CT 06109-4337
- Phone
- 860-276-5208
- Fax
- —
- Last updated
- October 1, 2025
Kevin Thomas Mccrystal is a Physician Assistant, Medical based in Wethersfield, CT. Kevin Thomas Mccrystal practices in Wethersfield, CT and has the professional credentials of PAC. The NPI Number for Kevin Thomas Mccrystal is 1730287350 and holds a License No. 001356 (CT). The current practice location address for Kevin Thomas Mccrystal is 1290 Silas Deane Hwy, Wethersfield, CT 06109-4337 and can be reached out via phone at 860-276-5208.
Provider Profile Details
- NPI Number
- 1730287350
- Provider Name
- Kevin Thomas Mccrystal
- Credential
- PAC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1290 Silas Deane Hwy, Wethersfield, CT 06109-4337
- Phone Number
- 860-276-5208
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 20, 2006
- Last Update Date
- October 1, 2025
- Certification Date
- October 1, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1290 Silas Deane Hwy
Wethersfield, CT 06109-4337 - City
- Wethersfield
- State
- Connecticut
- Zip
- 06109-4337
- Phone Number
- 860-276-5208
Provider Business Mailing Address Details
- Address
- 1290 Silas Deane Hwy Ste 102B
Wethersfield, CT 06109-4337 - City
- Wethersfield
- State
- CT
- Zip
- 06109-4337
License Information
- License Number
- 001356
- 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 Mr. Kevin T Mccrystal, PAC?
The NPI number of Mr. Kevin T Mccrystal, PAC is 1730287350. It was assigned on September 20, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Kevin T Mccrystal, PAC?
Mr. Kevin T Mccrystal, PAC is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 001356.
Where does Mr. Kevin T Mccrystal, PAC practice?
The practice location is 1290 Silas Deane Hwy, Wethersfield, CT 06109-4337. The office can be reached at 860-276-5208 (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 1730287350 directly on the NPPES registry website.