Olivia J. Koukoularis, PA-C
Physician Assistant · New London, CT
UnclaimedPA-CNPI 1952704561
- Primary taxonomy
- 363A00000X
- Enumerated
- 2014-09-28
- Practice location
- New London, CT
- Last NPPES update
- 2015-09-11
State licenses
- CT · Physician assistant · Physician AssistantActivethrough 2028
- RI · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.