Active NPIIndividual providerSole proprietor

Kerry Eaton

Physician Assistant in Wilmington, Massachusetts

NPI Number1164180659
Practice location
66 Concord St, Wilmington, MA 01887-2179
Fax
—
Last updated
April 10, 2026

Kerry Eaton is a Physician Assistant based in Wilmington, MA. Kerry Eaton practices in Wilmington, MA. The NPI Number for Kerry Eaton is 1164180659 and holds a License No. PA8930 (MA). The current practice location address for Kerry Eaton is 66 Concord St, Wilmington, MA 01887-2179 and can be reached out via phone at 978-694-9610.

Provider Profile Details

NPI Number
1164180659
Provider Name
Kerry Eaton
Provider Entity Type
Individual
Gender
Female
Address
66 Concord St, Wilmington, MA 01887-2179
Phone Number
978-694-9610
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 2, 2021
Last Update Date
April 10, 2026
Certification Date
April 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
66 Concord St
Wilmington, MA 01887-2179
Zip
01887-2179
Phone Number
978-694-9610
Wilmington, MA 01887Get directions →

Provider Business Mailing Address Details

Address
66 Concord St
Wilmington, MA 01887-2179
City
Wilmington
State
MA
Zip
01887-2179
Phone Number
978-694-9610
Fax Number
978-694-9533

License Information

Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA8930
License State (2)
MA
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Kerry Eaton?

The NPI number of Kerry Eaton is 1164180659. It was assigned on December 2, 2021 and is currently active in the NPPES registry.

What is the specialty of Kerry Eaton?

Kerry Eaton is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA8930.

Where does Kerry Eaton practice?

The practice location is 66 Concord St, Wilmington, MA 01887-2179. The office can be reached at 978-694-9610 (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 1164180659 directly on the NPPES registry website.

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