Kimiko Wysocki
Physician Assistant, Medical in Middletown, Connecticut
1891488565- Practice location
- 1250 Silver St, Middletown, CT 06457-3946
- Phone
- 860-346-0300
- Fax
- —
- Last updated
- August 7, 2023
Kimiko Wysocki is a Physician Assistant, Medical based in Middletown, CT. Kimiko Wysocki practices in Middletown, CT. The NPI Number for Kimiko Wysocki is 1891488565 and holds a License No. 6210 (CT). The current practice location address for Kimiko Wysocki is 1250 Silver St, Middletown, CT 06457-3946 and can be reached out via phone at 860-346-0300.
Provider Profile Details
- NPI Number
- 1891488565
- Provider Name
- Kimiko Wysocki
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1250 Silver St, Middletown, CT 06457-3946
- Phone Number
- 860-346-0300
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 30, 2023
- Last Update Date
- August 7, 2023
- Certification Date
- August 7, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1250 Silver St
Middletown, CT 06457-3946 - City
- Middletown
- State
- Connecticut
- Zip
- 06457-3946
- Phone Number
- 860-346-0300
Provider Business Mailing Address Details
- Address
- 17 Yarmouth St
Longmeadow, MA 01106-3224 - City
- Longmeadow
- State
- MA
- Zip
- 01106-3224
- Phone Number
- 413-348-5648
License Information
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 6210
- License State (2)
- CT
- Taxonomy (2)
- 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 Kimiko Wysocki?
The NPI number of Kimiko Wysocki is 1891488565. It was assigned on May 30, 2023 and is currently active in the NPPES registry.
What is the specialty of Kimiko Wysocki?
Kimiko Wysocki is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 6210.
Where does Kimiko Wysocki practice?
The practice location is 1250 Silver St, Middletown, CT 06457-3946. The office can be reached at 860-346-0300 (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 1891488565 directly on the NPPES registry website.