Kristen Adams, PA-C
Individual provider Active NPI Physician Assistant · Weymouth, MA
NPI 1457501488 · NPPES record last updated Jun 10, 2013
Key facts
- NPI
- 1457501488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2587 (MA)
- Practice address
- 90 Libbey Industrial Pkwy
Weymouth, MA 02189-3129 - Phone
- (330) 201-4120
- Fax
- (339) 201-4122
- NPI assigned
- Sep 26, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2587 | MA | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2587 | MA | Yes |
Addresses
Primary practice location
90 Libbey Industrial Pkwy
Weymouth, MA 02189-3129
Mailing address
90 Libbey Industrial Pkwy
Weymouth, MA 02189-3129
Phone (330) 201-4120
Other providers in Weymouth, MA
- Kathleen A Abruzese
- Access Orthodontics, LLC
- Active Ma, Inc.
- Dawn Jacqueline Adams
- Emilie Adams
- Jillian Adamson
- Advanced Dental Centers of Weymouth P.C.
- Mohammad Afrasiabi
- Afya Care LLC
- Nikki Aiello
All providers in Weymouth, MA · Physician Assistant in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2013. 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.