Kelly Ruiz, PA
Physician Assistant in Hartford, CT. Individual provider (NPI-1).
NPI number1831758366
StatusActive
Last updated in NPPESJun 9, 2019
Details
- NPI
- 1831758366
- Entity type
- Individual (NPI-1)
- Name
- Kelly Ruiz
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2019
- Last updated
- Jun 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 1163512 | CT | Yes |
Practice location
21 Grand StHartford, CT 06106-1541
Phone 860-550-7500
Mailing address
7 Kent LnBloomfield, CT 06002-1326
Phone 860-713-9655
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