Healthcare Provider Details

I. General information

NPI: 1649561614
Provider Name (Legal Business Name): KARL HELLSTRAND D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2011
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 FRANKLIN ST
WATERBURY CT
06706-1253
US

IV. Provider business mailing address

40 FRAL CT
SOUTHINGTON CT
06489-2367
US

V. Phone/Fax

Practice location:
  • Phone: 203-709-6059
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number53423
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number53423
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number05-48459
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: