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Contact Information

KYLE R BROWN, PA-C
540 SAYBROOK RD
SUITE 160
MIDDLETOWN, CT06457-4711
 Phone: 860-685-8940
 Fax: 860-685-8947
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KYLE R BROWN · (Male)

NPI # 1649278540
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/13/2005
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 001574
  • CT Other 290001574CT01 BLUE SHIELD PROVIDER NUMB
  • CT Other 747653 CONNECTICARE PROVIDER NUM
Hospital affiliation(s)
  • MIDSTATE MEDICAL CENTER - (Acute Care)
    435 LEWIS AVE
    MERIDEN, CT 06450
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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