Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN J. KRUCKENBERG, PA-C
ActiveKEVIN J. KRUCKENBERG, PA-C is a Physician Assistant healthcare provider located in HARTFORD, Connecticut. NPI 1578237715 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HARTFORD, CT
Registration Details
- NPI Number
- 1578237715
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2021 (5.0191004850111 yrs)
- Last Updated
- May 27, 2025
- Licenses
-
PA8259 (MA)007007 (CT)
Practice Information
- Address
-
80 SEYMOUR STHARTFORD, CT, 061028000Browse CT providers · Browse ZIP 06102
- Phone
- 8607165348
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in HARTFORD, CT
| Name | Credential | NPI |
|---|---|---|
| SUSAN B BARKSDALE | PHYSICAN ASSISTANT | 1235136300 |
| JAMES P ALVAREZ | PHYSICIAN ASSISTANT | 1407853575 |
| DIANE M BARNES | PHYSICIAN ASSISTANT | 1851398846 |
| JON H SZYDLO | PA | 1619975612 |
| MRS. CHRISTINE K LYNCH | P.A. | 1275531105 |
| MICHAEL L ZANDE | PHYSICIAN ASSISTANT | 1427056464 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.