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Mr. Kimi San Miguel Diaz, MS,PA-C
Physician Assistant in Peabody, Massachusetts
NPI 1114632510

Kimi San Miguel Diaz is a Physician Assistant based in Mongaup Valley, MA. Kimi San Miguel Diaz practices in Peabody, MA and has the professional credentials of MS,PA-C. The NPI Number for Kimi San Miguel Diaz is 1114632510 and holds a License No. (Massachusetts).

The current practice location address for Kimi San Miguel Diaz is 300 Jubilee Dr, Peabody, MA and can be reached out via phone at 978-513-7588.

Location: 300 Jubilee Dr, Peabody, MA, 12762-0163
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114632510
Provider Name
Kimi San Miguel Diaz
Credential
MS,PA-C
Provider Entity Type
Individual
Gender
Male
Address
300 Jubilee Dr, Peabody, MA, 12762-0163
Phone Number
978-513-7588
Fax Number
Provider Enumeration Date
01/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 Jubilee Dr
City
Peabody
State
Massachusetts
Zip
01960-4068
Phone Number
978-513-7588
Fax Number
person
Provider Business Mailing Address Details
Address
300 Jubilee Dr
City
Peabody
State
Massachusetts
Zip
01960-4068
Phone Number
978-513-7588
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
(New York)
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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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