Kelley Ann Prendergast in Fitchburg - Physician Assistant
Kelley Ann Prendergast - NPI 1033189352
Kelley Ann Prendergast is a Physician Assistant in Fitchburg, Massachusetts. Kelley Ann Prendergast practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelley Ann Prendergast is 1033189352. The last update date is 2015-10-28.
Kelley Ann Prendergast's current location address is 326 Nichols Road, Fitchburg, Massachusetts. You can contact this provider via phone number 9788788100 and fax number 9788788537. The mailing address for Kelley Ann Prendergast is 326 Nichols Road, Fitchburg, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelley Ann Prendergast |
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Address | 326 Nichols Road, Fitchburg, Massachusetts |
Phone Number | 9788788100 |
Fax Number | 9788788537 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1033189352 |
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Provider Enumeration Date | 2006-01-26 |
Last Updated Date | 2015-10-28 |
Provider Mailing Address Detail
Address | 326 Nichols Road |
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City | Fitchburg |
State | Massachusetts (MA) |
Post Code | 1420 |
Phone Number | 9788788100 |
Fax Number | 9788788537 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | AP2003 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Kelley Ann Prendergast by the Centers for Medicare & Medicaid Services?
The Kelley Ann Prendergast has been issued the NPI (National Provider Identifier) 1033189352 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Kelley Ann Prendergast located?
The Kelley Ann Prendergast is located at 326 Nichols Road, Fitchburg, MA 1420.
What is the Kelley Ann Prendergast's area of specialization and corresponding taxonomy classification?
The Kelley Ann Prendergast's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1033189352 to Kelley Ann Prendergast?
The Centers for Medicare & Medicaid Services assigned the 1033189352 to Kelley Ann Prendergast on 2006-01-26.
As of what date were the Kelley Ann Prendergast's details last updated?
The information pertaining to the Kelley Ann Prendergast, including its address, specialty, and other details, was most recently updated on 2015-10-28.
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