NPI 1033189352

Kelley Ann Prendergast, PA

Practitioner Physician Assistant Gardner, MA

Practice location

Address: 175 Connors Street, Gardner, MA 01440
Phone: (978) 410-6121
Fax: (978) 410-6109
Mailing address: 326 Nichols Road, Fitchburg, MA 01420

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence AP2003 (MA)

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Registry record

NPI: 1033189352
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jan 2006
Record last updated: 28 Oct 2015

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.