Kimberly L Bellavance, MPAS
Physician Assistant, Surgical in Hartford, Connecticut
1962772939- Practice location
- 114 Woodland St, Surgery Dept., Hartford, CT 06105-1208
- Phone
- 860-714-4694
- Fax
- 860-714-8096
- Last updated
- October 16, 2026
Kimberly L Bellavance is a Physician Assistant, Surgical based in Hartford, CT. Kimberly L Bellavance practices in Hartford, CT and has the professional credentials of MPAS. The NPI Number for Kimberly L Bellavance is 1962772939 and holds a License No. 2714 (CT). The current practice location address for Kimberly L Bellavance is 114 Woodland St, Surgery Dept., Hartford, CT 06105-1208 and can be reached out via phone at 860-714-4694 and via fax at 860-714-8096.
Provider Profile Details
- NPI Number
- 1962772939
- Provider Name
- Kimberly L Bellavance
- Credential
- MPAS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 114 Woodland St, Surgery Dept., Hartford, CT 06105-1208
- Phone Number
- 860-714-4694
- Fax Number
- 860-714-8096
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 9, 2012
- Last Update Date
- October 16, 2026
- Certification Date
- October 16, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 114 Woodland St
Surgery Dept.
Hartford, CT 06105-1208 - City
- Hartford
- State
- Connecticut
- Zip
- 06105-1208
- Phone Number
- 860-714-4694
- Fax Number
- 860-714-8096
Provider Business Mailing Address Details
- Address
- 1000 Asylum Ave Ste 2109A
Hartford, CT 06105-1719 - City
- Hartford
- State
- CT
- Zip
- 06105-1719
- Phone Number
- 860-714-6581
- Fax Number
- 860-714-8311
License Information
- License Number
- 2714
- 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 Kimberly L Bellavance, MPAS?
The NPI number of Kimberly L Bellavance, MPAS is 1962772939. It was assigned on January 9, 2012 and is currently active in the NPPES registry.
What is the specialty of Kimberly L Bellavance, MPAS?
Kimberly L Bellavance, MPAS is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CT under license number 2714.
Where does Kimberly L Bellavance, MPAS practice?
The practice location is 114 Woodland St, Surgery Dept., Hartford, CT 06105-1208. The office can be reached at 860-714-4694 (phone) or 860-714-8096 (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 1962772939 directly on the NPPES registry website.