Active NPIIndividual provider

Kathryn M Kielty, PA

Physician Assistant, Medical in Weymouth, Massachusetts

NPI Number1417914359
Practice location
55 Fogg RD, Weymouth, MA 02190-2432
Fax
—
Last updated
December 16, 2024

Kathryn M Kielty is a Physician Assistant, Medical based in Weymouth, MA. Kathryn M Kielty practices in Weymouth, MA and has the professional credentials of PA. The NPI Number for Kathryn M Kielty is 1417914359 and holds a License No. 1291 (MA). The current practice location address for Kathryn M Kielty is 55 Fogg RD, Weymouth, MA 02190-2432 and can be reached out via phone at 781-624-8000.

Provider Profile Details

NPI Number
1417914359
Provider Name
Kathryn M Kielty
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
55 Fogg RD, Weymouth, MA 02190-2432
Phone Number
781-624-8000
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Other Names
-- Kathryn M Kielty, PA (Former Name)
Provider Enumeration Date
April 26, 2006
Last Update Date
December 16, 2024
Certification Date
December 16, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fogg RD
Weymouth, MA 02190-2432
Zip
02190-2432
Phone Number
781-624-8000
Weymouth, MA 02190Get directions →

Provider Business Mailing Address Details

Address
147 Milk St
Provider Enrollment - 9TH Floor
Boston, MA 02109-4806
City
Boston
State
MA
Zip
02109-4806
Phone Number
617-559-8053
Fax Number
617-421-3487

License Information

License Number (1)
1291
License State (1)
MA
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
1291
License State (2)
MA
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X
License Number (3)
1291
License State (3)
MA
Taxonomy (3)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physician Assistant, Medical providers near Weymouth, MA

View all Physician Assistant, Medical providers in Weymouth →

Frequently Asked Questions

What is the NPI number of Kathryn M Kielty, PA?

The NPI number of Kathryn M Kielty, PA is 1417914359. It was assigned on April 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Kathryn M Kielty, PA?

Kathryn M Kielty, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number 1291.

Where does Kathryn M Kielty, PA practice?

The practice location is 55 Fogg RD, Weymouth, MA 02190-2432. The office can be reached at 781-624-8000 (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 1417914359 directly on the NPPES registry website.

Browse related providers