Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 65562 | CT |
Y | 2080P0205X | Pediatric Endocrinologist | 66606 | CT |
NPI | 1114456365 |
---|---|
Provider Name | Michelle Kayser |
First Address | New Haven, CT 06510-3202 |
Second Address | New Haven, CT 06510-3220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2017 |
Last Update Date | 29/09/2020 |