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

Kimiko Wysocki

Individual provider Physician Assistant · NPI 1891488565

Kimiko Wysocki is a Physician Assistant in Middletown, Connecticut. Licensed in Connecticut. Registered with an NPI since 2023.

Licensed in
CT
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1250 Silver St
Middletown, CT 06457-3946
Phone: (860) 346-0300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 6210 (CT)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1891488565
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 30, 2023
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023
Mailing address17 Yarmouth St, Longmeadow, MA 01106-3224

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