National Provider Identifier
Kerry Shanley Camp, PA
Kerry Shanley Camp, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 573-4419.
Source: public NPPES record, last updated October 14, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1679818686
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- December 02, 2012
- Last Updated
- October 14, 2020
Practice Location
- 243 Charles St
- Facial Plastic & Reconstructive Surgery Center Meei
- Boston, MA 02114-3002
Phone: (617) 573-4419
Specialties
- Physician Assistant (363A00000X)
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Biography
Kerry Shanley Camp, PA-C, is a physician assistant in facial plastic and reconstructive surgery at Mass Eye and Ear, where she is part of the Facial Nerve Center team focused on facial paralysis and facial movement disorders. Her professional background includes physician assistant training at Yale University and NCCPA certification.
Full Record
- NPI
- 1679818686
- Entity Type
- Individual
- Last Name
- Camp
- First Name
- Kerry
- Middle Name
- Shanley
- Credential
- PA
- Mailing Street Address
- 243 Charles St
- Mailing Address Line 2
- Facial Plastic & Reconstructive Surgery Center Meei
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02114-3002
- Mailing Country
- US
- Mailing Phone
- (617) 573-4419
- Practice Street Address
- 243 Charles St
- Practice Address Line 2
- Facial Plastic & Reconstructive Surgery Center Meei
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02114-3002
- Practice Country
- US
- Practice Phone
- (617) 573-4419
- Enumeration Date
- December 02, 2012
- Last Updated
- October 14, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 14, 2020
- Taxonomies
- Physician Assistant (363A00000X)