Individual provider · Type 1 NPI

Kevin Yan Koenders, PA-C

Surgical Physician Assistant · Newton, MA

NPI number 1003473273 Active

Practice location

2014 Washington St, Department Of Orthopedics
Newton, MA 02462-1607

Mailing address

1200 S York St Ste 2000
Elmhurst, IL 60126-5634

Other practice locations

  • 1200 S York St Ste 2000, Elmhurst, IL 60126-5634 · (331) 221-9004
  • 780 Albany St, Boston, MA 02118-2755 · (857) 654-1000
  • 119 Belmont St, Worcester, MA 01605-2903 · (508) 334-8515
  • 2650 Ridge Ave, Evanston, IL 60201-1700 · (847) 570-2112
  • 55 Lake Ave N, Worcester, MA 01655-0002 · (508) 334-8515

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085007593 (IL)
Physician Assistant 363A00000XPA7466 (MA)

Surgical Physician Assistant: Definition to come...

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About NPI 1003473273

Kevin Yan Koenders, PA-C's National Provider Identifier is 1003473273, issued on May 23, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Newton, MA. The record was last updated on Oct 6, 2025.