Sergey Kletsov
Physician Assistant, Medical in East Walpole, Massachusetts
1891695326- Practice location
- 103 Providence Hwy, East Walpole, MA 02032-1512
- Phone
- 781-255-0500
- Fax
- —
- Last updated
- November 9, 2026
Sergey Kletsov is a Physician Assistant, Medical based in East Walpole, MA. Sergey Kletsov practices in East Walpole, MA. The NPI Number for Sergey Kletsov is 1891695326 and holds a License No. PA103096 (MA). The current practice location address for Sergey Kletsov is 103 Providence Hwy, East Walpole, MA 02032-1512 and can be reached out via phone at 781-255-0500.
Provider Profile Details
- NPI Number
- 1891695326
- Provider Name
- Sergey Kletsov
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 103 Providence Hwy, East Walpole, MA 02032-1512
- Phone Number
- 781-255-0500
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 9, 2026
- Last Update Date
- November 9, 2026
- Certification Date
- November 9, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 103 Providence Hwy
East Walpole, MA 02032-1512 - City
- East Walpole
- State
- Massachusetts
- Zip
- 02032-1512
- Phone Number
- 781-255-0500
Provider Business Mailing Address Details
- Address
- 2 Bayberry Dr Apt 3
Sharon, MA 02067-1315 - City
- Sharon
- State
- MA
- Zip
- 02067-1315
- Phone Number
- 781-864-0445
License Information
- License Number
- PA103096
- License State
- MA
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · 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 Sergey Kletsov?
The NPI number of Sergey Kletsov is 1891695326. It was assigned on November 9, 2026 and is currently active in the NPPES registry.
What is the specialty of Sergey Kletsov?
Sergey Kletsov is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number PA103096.
Where does Sergey Kletsov practice?
The practice location is 103 Providence Hwy, East Walpole, MA 02032-1512. The office can be reached at 781-255-0500 (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 1891695326 directly on the NPPES registry website.