Active NPIIndividual provider

Deven K Mckiernan, PA-C

Physician Assistant in Andover, Massachusetts

NPI Number1558914572
Practice location
323 Lowell St, Andover, MA 01810-4659
Fax
978-975-3925
Last updated
February 4, 2025

Deven K Mckiernan is a Physician Assistant based in Andover, MA. Deven K Mckiernan practices in Andover, MA and has the professional credentials of PA-C. The NPI Number for Deven K Mckiernan is 1558914572 and holds a License No. 2900 (NH). The current practice location address for Deven K Mckiernan is 323 Lowell St, Andover, MA 01810-4659 and can be reached out via phone at 978-794-1946 and via fax at 978-975-3925.

Provider Profile Details

NPI Number
1558914572
Provider Name
Deven K Mckiernan
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
323 Lowell St, Andover, MA 01810-4659
Phone Number
978-794-1946
Fax Number
978-975-3925
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 18, 2019
Last Update Date
February 4, 2025
Certification Date
February 4, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
323 Lowell St
Andover, MA 01810-4659
Zip
01810-4659
Phone Number
978-794-1946
Fax Number
978-975-3925
Andover, MA 01810Get directions →

Provider Business Mailing Address Details

Address
323 Lowell St
Andover, MA 01810-4659
City
Andover
State
MA
Zip
01810-4659
Phone Number
978-794-1946
Fax Number
978-975-3925

License Information

License Number (1)
2900
License State (1)
NH
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA7425
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 Deven K Mckiernan, PA-C?

The NPI number of Deven K Mckiernan, PA-C is 1558914572. It was assigned on July 18, 2019 and is currently active in the NPPES registry.

What is the specialty of Deven K Mckiernan, PA-C?

Deven K Mckiernan, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NH under license number 2900.

Where does Deven K Mckiernan, PA-C practice?

The practice location is 323 Lowell St, Andover, MA 01810-4659. The office can be reached at 978-794-1946 (phone) or 978-975-3925 (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 1558914572 directly on the NPPES registry website.

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