Kacper Kisala, PA-C
Kacper Kisala, PA-C is a Physician Assistant in Enfield, Connecticut. Qualified in 2022, 4 years ago. Practices with Trinity Health of New England Provider Network Organization Inc, a 635-clinician group and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 4
- Licensed in
- CT
- In the registry since
- 2024
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
148 Hazard AveEnfield, CT 06082-4520
Phone: (860) 763-7650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 6665 (CT) |
|---|
Record details
| NPI number | 1518704030 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | July 11, 2024 |
| Last updated in NPPES | July 19, 2024 |
| Certification date | July 19, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Trinity Health Of New England Provider Network Organization Inc — 635 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |