KEVIN THOMAS MCCRYSTAL

SOUTHINGTON, CT
NPI1730287350
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  001356)
Enumeration Date2006-09-20
Last Update Date2008-09-23
Business Address
Mr. KEVIN THOMAS MCCRYSTAL PAC
81 MENDEN AVENUE BRADLEY MEMORIAL HOSPITAL
SOUTHINGTON, CT 06489
Phone number: 860-276-5208
Mailing Address
Mr. KEVIN THOMAS MCCRYSTAL PAC
72 MAPLE AVENUE
VERNON, CT 06066
Phone number: 860-875-7915