Individual provider · Type 1 NPI
Kelsey Stanvick
Medical Physician Assistant · Boston, MA
NPI number
1245704097
Active
Practice location
800 Washington St
Boston, MA 02111-1552
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | 6975 (MA) |
Medical Physician Assistant: Definition to come...
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About NPI 1245704097
Kelsey Stanvick's National Provider Identifier is 1245704097, issued on Jan 15, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boston, MA. The record was last updated on Oct 22, 2020.