MISS Kelly Nicole Hafers, PA-C
NPI #1104408061 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1104408061
- Entity Type
- Individual
- Name
- MISS Kelly Nicole Hafers, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Apr 21, 2021
- Last Updated
- Jul 13, 2021
Practice Location
- Address
- 30 HAZEL ST
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06604-7752
- Phone
- (203) 576-4880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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