Active NPIIndividual provider

Mrs. Kelly A Diaz, PHYSICIAN ASSISTANT

Physician Assistant in Charlton, Massachusetts

NPI Number1568029437
Practice location
10 N Main St, Charlton, MA 01507-1590
Fax
—
Last updated
May 24, 2019

Kelly Ann Diaz is a Physician Assistant based in Charlton, MA. Kelly Ann Diaz practices in Charlton, MA and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Kelly Ann Diaz is 1568029437. The current practice location address for Kelly Ann Diaz is 10 N Main St, Charlton, MA 01507-1590 and can be reached out via phone at 508-248-1770.

Provider Profile Details

NPI Number
1568029437
Provider Name
Kelly Ann Diaz
Credential
PHYSICIAN ASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
10 N Main St, Charlton, MA 01507-1590
Phone Number
508-248-1770
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
May 24, 2019
Last Update Date
May 24, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 N Main St
Charlton, MA 01507-1590
Zip
01507-1590
Phone Number
508-248-1770
Charlton, MA 01507Get directions →

Provider Business Mailing Address Details

Address
1 Denslow RD
East Longmeadow, MA 01028-3104
City
East Longmeadow
State
MA
Zip
01028-3104
Phone Number
413-565-1501

License Information

License State
MA
Taxonomy
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 Mrs. Kelly A Diaz, PHYSICIAN ASSISTANT?

The NPI number of Mrs. Kelly A Diaz, PHYSICIAN ASSISTANT is 1568029437. It was assigned on May 24, 2019 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kelly A Diaz, PHYSICIAN ASSISTANT?

Mrs. Kelly A Diaz, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Mrs. Kelly A Diaz, PHYSICIAN ASSISTANT practice?

The practice location is 10 N Main St, Charlton, MA 01507-1590. The office can be reached at 508-248-1770 (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 1568029437 directly on the NPPES registry website.

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