National Provider Identifier
Kelley Susan Gillis, PA-C
Kelley Susan Gillis, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Boston, MA and a listed phone number of (617) 726-4900.
Source: public NPPES record, last updated April 23, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1265533137
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- September 25, 2006
- Last Updated
- April 23, 2024
Practice Location
- Mgh Beacon Hill Primary Care
- 165 Cambridge St #501
- Boston, MA 02114
Phone: (617) 726-4900
Mailing Address
- 2300 Southwood Dr
- Dartmouth Hitchcock - Urgent Care
- Nashua, NH 03063-1818
Specialties
- Medical Physician Assistant (363AM0700X)
- Physician Assistant (363A00000X)
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Biography
Kelley Gillis, PA-C, practices internal medicine with MGH Beacon Hill Associates in Boston. Her professional background includes PA training at Massachusetts College of Pharmacy and Health Sciences in Worcester, undergraduate study in nutrition at Simmons College, and NCCPA certification; earlier public profiles also connect her with urgent-care and emergency-medicine work at Dartmouth Hitchcock in Nashua.
Full Record
- NPI
- 1265533137
- Entity Type
- Individual
- Last Name
- Gillis
- First Name
- Kelley
- Middle Name
- Susan
- Name Prefix
- Mrs.
- Credential
- PA-C
- Mailing Street Address
- 2300 Southwood Dr
- Mailing Address Line 2
- Dartmouth Hitchcock - Urgent Care
- Mailing City
- Nashua
- Mailing State
- NH
- Mailing ZIP Code
- 03063-1818
- Mailing Country
- US
- Mailing Phone
- (603) 577-4188
- Practice Street Address
- Mgh Beacon Hill Primary Care
- Practice Address Line 2
- 165 Cambridge St #501
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02114
- Practice Country
- US
- Practice Phone
- (617) 726-4900
- Enumeration Date
- September 25, 2006
- Last Updated
- April 23, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 16, 2024
- Taxonomies
- Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)
- Other Identifiers
- 30334240 (NH)