NPI 1003598509

Kyle Fernandez, PAC

Practitioner Physician Assistant Worcester, MA

Practice location

Address: 55 Lake Ave N, Worcester, MA 01655-0002
Phone: (508) 334-8515
Fax: (508) 334-6490
Mailing address: PO Box 917770, Orlando, FL 32891-0001

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA9554 (MA)

Other Physician Assistant providers in Massachusetts →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA9120161 (FL)

Registry record

NPI: 1003598509
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Aug 2023
Record last updated: 7 Dec 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.