Individual provider · Type 1 NPI

Kimi San Miguel Diaz, MS, PA-C

Physician Assistant · Peabody, MA

NPI number 1114632510 Active

Practice location

300 Jubilee Dr
Peabody, MA 01960-4068

Call (978) 513-7588 Map

Mailing address

PO Box 163
Mongaup Valley, NY 12762-0163

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1114632510

Kimi San Miguel Diaz, MS, PA-C's National Provider Identifier is 1114632510, issued on Jan 19, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Peabody, MA. The record was last updated on Oct 23, 2023.