Mrs. Kelley A Prendergast, PA
Physician Assistant in Gardner, Massachusetts
1033189352- Practice location
- 175 Connors Street, Gardner, MA 01440
- Phone
- 978-410-6121
- Fax
- 978-410-6109
- Last updated
- October 28, 2015
Kelley Ann Prendergast is a Physician Assistant based in Gardner, MA. Kelley Ann Prendergast practices in Gardner, MA and has the professional credentials of PA. The NPI Number for Kelley Ann Prendergast is 1033189352 and holds a License No. AP2003 (MA). The current practice location address for Kelley Ann Prendergast is 175 Connors Street, Gardner, MA 01440 and can be reached out via phone at 978-410-6121 and via fax at 978-410-6109.
Provider Profile Details
- NPI Number
- 1033189352
- Provider Name
- Kelley Ann Prendergast
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 175 Connors Street, Gardner, MA 01440
- Phone Number
- 978-410-6121
- Fax Number
- 978-410-6109
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 26, 2006
- Last Update Date
- October 28, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 175 Connors Street
Gardner, MA 01440 - City
- Gardner
- State
- Massachusetts
- Zip
- 01440
- Phone Number
- 978-410-6121
- Fax Number
- 978-410-6109
Provider Business Mailing Address Details
- Address
- 326 Nichols Road
Fitchburg, MA 01420 - City
- Fitchburg
- State
- MA
- Zip
- 01420
- Phone Number
- 978-878-8100
- Fax Number
- 978-878-8537
License Information
- License Number
- AP2003
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Gardner, MA
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Frequently Asked Questions
What is the NPI number of Mrs. Kelley A Prendergast, PA?
The NPI number of Mrs. Kelley A Prendergast, PA is 1033189352. It was assigned on January 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Mrs. Kelley A Prendergast, PA?
Mrs. Kelley A Prendergast, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number AP2003.
Where does Mrs. Kelley A Prendergast, PA practice?
The practice location is 175 Connors Street, Gardner, MA 01440. The office can be reached at 978-410-6121 (phone) or 978-410-6109 (fax).
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 1033189352 directly on the NPPES registry website.