Kyle Anthony Hansen-Gonzalez
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · South Weymouth, MA
NPI 1093699159 · NPPES record last updated May 24, 2026
Key facts
- NPI
- 1093699159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 55 Fogg Rd
South Weymouth, MA 02190-2432 - Phone
- (781) 624-8168
- NPI assigned
- Aug 2, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
55 Fogg Rd
South Weymouth, MA 02190-2432
Mailing address
145 Harrison Ave
Boston, MA 02111-1802
Other providers in South Weymouth, MA
- Mary Catherine Gustilo
- Paul F Hackett
- Carolyn Haddigan
- Robbin Lyn Hall
- Gretchen Ruth Hamn
- Harbor Medical Associates P.C.
- Harbor Medical Associates P.C.
- Harbor Medical Associates, Inc.
- Harbor Medical Associates, Inc.
- Harbor Medical Associates, Inc.
All providers in South Weymouth, MA · Student in an Organized Health Care Education/Training Program in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.