Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaylee Bodnar, PHYSICIANASSISTANT

Individual provider Surgical Physician Assistant · NPI 1588011522

Kaylee Bodnar, PHYSICIANASSISTANT is a Surgical Physician Assistant in Hartford, Connecticut. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

114 Woodland St
Hartford, CT 06105-1208
Phone: (860) 714-4000
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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

Record details

NPI number1588011522
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMay 19, 2016
Last updated in NPPESMay 19, 2016
Mailing address190 McFall Rd, Apalachin, NY 13732-3732

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