National Provider Identifier
Kelly R Wisniewski, PA-C
Kelly R Wisniewski, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 732-5636.
Source: public NPPES record, last updated February 05, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1033760657
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- September 25, 2019
- Last Updated
- February 05, 2020
Practice Location
- 75 Francis St
- Boston, MA 02115-6110
Phone: (617) 732-5636
Specialties
- Physician Assistant (363A00000X)
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Biography
Kelly Wisniewski, PA-C, is a Boston-based physician assistant affiliated with Brigham and Women’s Hospital and Brigham and Women’s Physicians Organization. Her public professional profile lists physician assistant training at the MGH Institute of Health Professions and completion of the NCCPA Physician Assistant National Certifying Exam.
Full Record
- NPI
- 1033760657
- Entity Type
- Individual
- Last Name
- Wisniewski
- First Name
- Kelly
- Middle Name
- R
- Credential
- PA-C
- Mailing Street Address
- 75 Francis St
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02115-6110
- Mailing Country
- US
- Mailing Phone
- (617) 732-5640
- Practice Street Address
- 75 Francis St
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02115-6110
- Practice Country
- US
- Practice Phone
- (617) 732-5636
- Enumeration Date
- September 25, 2019
- Last Updated
- February 05, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 05, 2020
- Taxonomies
- Physician Assistant (363A00000X)