Mr. Kenneth R Dovidio, PA
Physician Assistant in North Andover, Massachusetts
1891812061- Practice location
- 555 Turnpike St, Ste 31, North Andover, MA 01845-5923
- Phone
- 978-683-4299
- Fax
- 978-688-9603
- Last updated
- October 7, 2021
Kenneth R Dovidio is a Physician Assistant based in North Andover, MA. Kenneth R Dovidio practices in North Andover, MA and has the professional credentials of PA. The NPI Number for Kenneth R Dovidio is 1891812061 and holds a License No. 308 (MA). The current practice location address for Kenneth R Dovidio is 555 Turnpike St, Ste 31, North Andover, MA 01845-5923 and can be reached out via phone at 978-683-4299 and via fax at 978-688-9603.
Provider Profile Details
- NPI Number
- 1891812061
- Provider Name
- Kenneth R Dovidio
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 555 Turnpike St, Ste 31, North Andover, MA 01845-5923
- Phone Number
- 978-683-4299
- Fax Number
- 978-688-9603
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 23, 2007
- Last Update Date
- October 7, 2021
- Certification Date
- October 7, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 555 Turnpike St
Ste 31
North Andover, MA 01845-5923 - City
- North Andover
- State
- Massachusetts
- Zip
- 01845-5923
- Phone Number
- 978-683-4299
- Fax Number
- 978-688-9603
Provider Business Mailing Address Details
- Address
- 555 Turnpike St
Ste 31
North Andover, MA 01845-5923 - City
- North Andover
- State
- MA
- Zip
- 01845-5923
- Phone Number
- 978-683-4299
- Fax Number
- 978-688-9603
License Information
- License Number
- 308
- 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 Mr. Kenneth R Dovidio, PA?
The NPI number of Mr. Kenneth R Dovidio, PA is 1891812061. It was assigned on March 23, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Kenneth R Dovidio, PA?
Mr. Kenneth R Dovidio, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number 308.
Where does Mr. Kenneth R Dovidio, PA practice?
The practice location is 555 Turnpike St, Ste 31, North Andover, MA 01845-5923. The office can be reached at 978-683-4299 (phone) or 978-688-9603 (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 1891812061 directly on the NPPES registry website.