National Provider Identifier
Kevin Russell Bonvicini, PA-C
Kevin Russell Bonvicini, 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) 732-7628.
Source: public NPPES record, last updated March 13, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1417529496
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 11, 2021
- Last Updated
- March 13, 2022
Practice Location
- 75 Francis St
- Boston, MA 02115-6110
Phone: (617) 732-7628
Specialties
- Physician Assistant (363A00000X)
Browse Similar Providers
See more providers in the Physician Assistant classification in Boston, MA.
Biography
Kevin Bonvicini, PA-C, is a board-certified physician assistant in orthopaedic surgery with Brigham and Women’s Hospital. His Brigham profile lists certification as a physician assistant in 2021 and practice locations across the Brigham and Mass General Brigham network, including Boston, Brookline, Chestnut Hill, Jamaica Plain, and Westwood.
Full Record
- NPI
- 1417529496
- Entity Type
- Individual
- Last Name
- Bonvicini
- First Name
- Kevin
- Middle Name
- Russell
- Name Prefix
- Mr.
- Credential
- PA-C
- Mailing Street Address
- 75 Francis St
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02115-6110
- Mailing Country
- US
- Practice Street Address
- 75 Francis St
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02115-6110
- Practice Country
- US
- Practice Phone
- (617) 732-7628
- Enumeration Date
- July 11, 2021
- Last Updated
- March 13, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- March 13, 2022
- Taxonomies
- Physician Assistant (363A00000X)