Active NPIIndividual provider

Kennedy R Serpa

Student in an Organized Health Care Education/Training Program in Marion, Massachusetts

NPI Number1710861356
Practice location
9 Deer Run, Marion, MA 02738-5109
Fax
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Last updated
August 5, 2025

Kennedy Rae Serpa is a Student in an Organized Health Care Education/Training Program based in Marion, MA. Kennedy Rae Serpa practices in Marion, MA. The NPI Number for Kennedy Rae Serpa is 1710861356. The current practice location address for Kennedy Rae Serpa is 9 Deer Run, Marion, MA 02738-5109 and can be reached out via phone at 774-328-5225.

Provider Profile Details

NPI Number
1710861356
Provider Name
Kennedy Rae Serpa
Provider Entity Type
Individual
Gender
Female
Address
9 Deer Run, Marion, MA 02738-5109
Phone Number
774-328-5225
Sole Proprietor
No
Provider Enumeration Date
August 5, 2025
Last Update Date
August 5, 2025
Certification Date
August 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
9 Deer Run
Marion, MA 02738-5109
City
Marion
Zip
02738-5109
Phone Number
774-328-5225
Marion, MA 02738Get directions →

Provider Business Mailing Address Details

Address
9 Deer Run
Marion, MA 02738-5109
City
Marion
State
MA
Zip
02738-5109
Phone Number
774-328-5225

License Information

Taxonomy (1)
Physician Assistant · 363A00000X

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 Kennedy R Serpa?

The NPI number of Kennedy R Serpa is 1710861356. It was assigned on August 5, 2025 and is currently active in the NPPES registry.

What is the specialty of Kennedy R Serpa?

Kennedy R Serpa is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Kennedy R Serpa practice?

The practice location is 9 Deer Run, Marion, MA 02738-5109. The office can be reached at 774-328-5225 (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 1710861356 directly on the NPPES registry website.

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