Mrs. Kelly N Champion, MPAS, PA-C
Physician Assistant in Milton, Massachusetts
1578836219- Practice location
- 199 Reedsdale RD, Milton, MA 02186-3926
- Phone
- 617-696-4600
- Fax
- —
- Last updated
- April 10, 2018
Kelly Nicole Champion is a Physician Assistant based in Milton, MA. Kelly Nicole Champion practices in Milton, MA and has the professional credentials of MPAS, PA-C. The NPI Number for Kelly Nicole Champion is 1578836219 and holds a License No. PA4354 (MA). The current practice location address for Kelly Nicole Champion is 199 Reedsdale RD, Milton, MA 02186-3926 and can be reached out via phone at 617-696-4600.
Provider Profile Details
- NPI Number
- 1578836219
- Provider Name
- Kelly Nicole Champion
- Credential
- MPAS, PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 199 Reedsdale RD, Milton, MA 02186-3926
- Phone Number
- 617-696-4600
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Other Names
- Kelly Nicole Champion, MPAS, PA-C (Former Name)
- Provider Enumeration Date
- February 10, 2012
- Last Update Date
- April 10, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 199 Reedsdale RD
Milton, MA 02186-3926 - City
- Milton
- State
- Massachusetts
- Zip
- 02186-3926
- Phone Number
- 617-696-4600
Provider Business Mailing Address Details
- Address
- 26 Frankfort St # 3
Boston, MA 02128-3114 - City
- Boston
- State
- MA
- Zip
- 02128-3114
- Phone Number
- 978-697-8726
License Information
- License Number
- PA4354
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 N Champion, MPAS, PA-C?
The NPI number of Mrs. Kelly N Champion, MPAS, PA-C is 1578836219. It was assigned on February 10, 2012 and is currently active in the NPPES registry.
What is the specialty of Mrs. Kelly N Champion, MPAS, PA-C?
Mrs. Kelly N Champion, MPAS, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA4354.
Where does Mrs. Kelly N Champion, MPAS, PA-C practice?
The practice location is 199 Reedsdale RD, Milton, MA 02186-3926. The office can be reached at 617-696-4600 (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 1578836219 directly on the NPPES registry website.