Mr. Kevin Y Koenders, PA-C
Physician Assistant, Surgical in Newton, Massachusetts
1003473273- Practice location
- 2014 Washington St, Department Of Orthopedics, Newton, MA 02462-1607
- Phone
- 617-219-1674
- Fax
- —
- Last updated
- October 6, 2025
Kevin Yan Koenders is a Physician Assistant, Surgical based in Newton, MA. Kevin Yan Koenders practices in Newton, MA and has the professional credentials of PA-C. The NPI Number for Kevin Yan Koenders is 1003473273 and holds a License No. 085007593 (IL). The current practice location address for Kevin Yan Koenders is 2014 Washington St, Department Of Orthopedics, Newton, MA 02462-1607 and can be reached out via phone at 617-219-1674.
Provider Profile Details
- NPI Number
- 1003473273
- Provider Name
- Kevin Yan Koenders
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2014 Washington St, Department Of Orthopedics, Newton, MA 02462-1607
- Phone Number
- 617-219-1674
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 23, 2019
- Last Update Date
- October 6, 2025
- Certification Date
- October 6, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2014 Washington St
Department Of Orthopedics
Newton, MA 02462-1607 - City
- Newton
- State
- Massachusetts
- Zip
- 02462-1607
- Phone Number
- 617-219-1674
Provider Business Mailing Address Details
- Address
- 1200 S York St Ste 2000
Elmhurst, IL 60126-5634 - City
- Elmhurst
- State
- IL
- Zip
- 60126-5634
- Phone Number
- 331-221-9004
- Fax Number
- 331-221-2748
License Information
- License Number (1)
- 085007593
- License State (1)
- IL
- Taxonomy (1)
- Physician Assistant, Surgical · 363AS0400X · Primary
- License Number (2)
- PA7466
- License State (2)
- MA
- Taxonomy (2)
- Physician Assistant · 363A00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Surgical providers near Newton, MA
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Frequently Asked Questions
What is the NPI number of Mr. Kevin Y Koenders, PA-C?
The NPI number of Mr. Kevin Y Koenders, PA-C is 1003473273. It was assigned on May 23, 2019 and is currently active in the NPPES registry.
What is the specialty of Mr. Kevin Y Koenders, PA-C?
Mr. Kevin Y Koenders, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in IL under license number 085007593.
Where does Mr. Kevin Y Koenders, PA-C practice?
The practice location is 2014 Washington St, Department Of Orthopedics, Newton, MA 02462-1607. The office can be reached at 617-219-1674 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003473273 directly on the NPPES registry website.