Individual provider · Type 1 NPI
Kelley Susan Gillis, PA-C
Medical Physician Assistant · Boston, MA
NPI number
1265533137
Active
Practice location
Mgh Beacon Hill Primary Care, 165 Cambridge St #501
Boston, MA 02114
Mailing address
2300 Southwood Dr, Dartmouth Hitchcock - Urgent Care
Nashua, NH 03063-1818
Other practice locations
- 2300 Southwood Dr, Dartmouth Hitchcock - Urgent Care, Nashua, NH 03063-1818 · (603) 577-4188
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA4400 (MA) |
| Medical Physician Assistant Primary | 363AM0700X | 0525 (NH) |
Medical Physician Assistant: Definition to come...
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About NPI 1265533137
Kelley Susan Gillis, PA-C's National Provider Identifier is 1265533137, issued on Sep 25, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boston, MA. The record was last updated on Apr 23, 2024.