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Contact Information

KILEY D MICHAELS
3801 E MAIN ST
WATERBURY, CT06705-3815
 Phone: 203-709-4030
 Fax: 203-709-5289
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KILEY D MICHAELS · (Female)

NPI # 1114516341
Status Active
Credentials
Entity Individual
Enumeration date 01/12/2021
Last updated 04/06/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 5337
Hospital affiliation(s)
  • SAINT MARYS HOSPITAL - (Acute Care)
    56 FRANKLIN ST
    WATERBURY, CT 06706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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