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Contact Information

GRESI KELLO, PA-C
2165 DIXWELL AVE
HAMDEN, CT06514-2116
 Phone: 860-430-1246
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GRESI KELLO · (Female)

NPI # 1609481639
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/15/2020
Last updated 02/16/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 4810
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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