Individual provider · Type 1 NPI

Kiersten Revord, PA-C

Physician Assistant · Springfield, MA

NPI number 1033535133 Active

Practice location

3455 Main St Ste 5
Springfield, MA 01107-1147

Call (413) 733-9600 Map

Fax (413) 732-6534

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA6000 (MA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1033535133

Kiersten Revord, PA-C's National Provider Identifier is 1033535133, issued on Mar 13, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Springfield, MA. The record was last updated on Aug 8, 2025.