Search › Connecticut › 363A00000X
Kevin Kruckenberg, PA-C
NPI 1578237715 · on the registry since 2021
Practice
- Address
- 80 Seymour St
Hartford, CT 06102 - Phone
- (860) 716-5348
- Organisation at this address
- Hartford Hospital
Hartford Hospital
Hartford Hospital
Hartford Hospital
Hartford HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,402
Additional practice sites
- 55 Lake Ave N, Worcester, MA
- 119 Belmont St, Worcester, MA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- MA, CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut