NPI 1003473273

Kevin Yan Koenders, PAC

Practitioner Surgical Physician Assistant Newton, MA

Practice location

Address: 2014 Washington St Department of Orthopedics, Newton, MA 02462-1607
Phone: (617) 219-1674
Mailing address: 1200 S York St STE 2000, Elmhurst, IL 60126-5634

Registered specialties (2)

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 085007593 (IL)

Other Physician Assistant providers in Massachusetts →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA7466 (MA)

Registry record

NPI: 1003473273
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 May 2019
Record last updated: 6 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.