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

Individual provider Physician Assistant · NPI 1033894969

Kyle Surprenant is a Physician Assistant in New Haven, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

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

20 York St
New Haven, CT 06510-3220
Phone: (203) 688-4242
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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 23.006230 (CT)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1033894969
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 19, 2023
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023
Mailing address91 Elm St Apt 210a, Manchester, CT 06040-8603

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