DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KELLEY ANN PRENDERGAST, PA

Active

Physician Assistant · GARDNER, MA

Registration Details

NPI Number
1033189352
Provider Type
Individual
Gender
Female
NPI Issued
Jan 26, 2006 (20.254452104784 yrs)
Last Updated
Oct 28, 2015
License
AP2003 (MA)

Practice Information

Address
175 CONNORS STREET
GARDNER, MA, 01440
Browse MA providers · Browse ZIP 01440
Phone
9784106121
Fax
9784106109
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in GARDNER, MA

Name Credential NPI
ELIZABETH EW TEMPLE PA-C 1669470837
ERICA LASORSA PA-C 1245409879
CASIE HURD SHORT PA-C 1205067279
MRS. CAROL ANNE FURNARI PA 1639442825
PAULINE V. SAUNDERS PA-C 1932441532
EMILY KATHRYN DICONZA SMITH PA 1003232612
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.