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1225015795
SHANE P KINSEY
WETHERSFIELD, CT
NPI
1225015795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CT 001450)
Enumeration Date
2005-12-27
Last Update Date
2007-12-21
Business Address
-- SHANE P KINSEY PAC
1260 SILAS DEANE HIGHWAY
WETHERSFIELD, CT 06109
Phone number: 860-529-1100
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Mailing Address
-- SHANE P KINSEY PAC
PO BOX 1086 HARTFORD MEDICAL GROUP
WILBRAHAM, MA 01095-1086
Phone number: 508-595-0531
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