Kellie Condon, PA-C
Physician Assistant in Peabody, Massachusetts
1093468894- Practice location
- 2 Essex Center Dr Ste 1, Peabody, MA 01960-2930
- Phone
- 978-977-4000
- Fax
- —
- Last updated
- February 23, 2024
Kellie Condon is a Physician Assistant based in Peabody, MA. Kellie Condon practices in Peabody, MA and has the professional credentials of PA-C. The NPI Number for Kellie Condon is 1093468894 and holds a License No. PA8597 (MA). The current practice location address for Kellie Condon is 2 Essex Center Dr Ste 1, Peabody, MA 01960-2930 and can be reached out via phone at 978-977-4000.
Provider Profile Details
- NPI Number
- 1093468894
- Provider Name
- Kellie Condon
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2 Essex Center Dr Ste 1, Peabody, MA 01960-2930
- Phone Number
- 978-977-4000
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 1, 2022
- Last Update Date
- February 23, 2024
- Certification Date
- February 23, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Essex Center Dr Ste 1
Peabody, MA 01960-2930 - City
- Peabody
- State
- Massachusetts
- Zip
- 01960-2930
- Phone Number
- 978-977-4000
Provider Business Mailing Address Details
- Address
- Provider Enrollment 41 Mall Road
Burlington, MA 01805-0001 - City
- Burlington
- State
- MA
- Zip
- 01805-0001
License Information
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- PA8597
- License State (2)
- MA
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kellie Condon, PA-C?
The NPI number of Kellie Condon, PA-C is 1093468894. It was assigned on February 1, 2022 and is currently active in the NPPES registry.
What is the specialty of Kellie Condon, PA-C?
Kellie Condon, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA8597.
Where does Kellie Condon, PA-C practice?
The practice location is 2 Essex Center Dr Ste 1, Peabody, MA 01960-2930. The office can be reached at 978-977-4000 (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 1093468894 directly on the NPPES registry website.