Prendergast, Kelley Ann

Prendergast, Kelley Ann is an individual health care provider with primary practice located at 175 Connors Street , Gardner MA 01440. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Prendergast, Kelley Ann can be contacted via phone (978) 410-6121.

Contact Information

Primary practice address
175 Connors Street Gardner MA 01440
Phone: (978) 410-6121
Fax: (978) 410-6109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X AP2003 Massachusetts

Profile Details

NPI number 1033189352
LBN Legal business name Prendergast, Kelley Ann
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Oct 28th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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