Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KIMI SAN MIGUEL DIAZ, MS, PA-C
ActiveMR. KIMI SAN MIGUEL DIAZ, MS, PA-C is a Physician Assistant healthcare provider located in PEABODY, Massachusetts. NPI 1114632510 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PEABODY, MA
Registration Details
- NPI Number
- 1114632510
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2023 (3.5254087194171 yrs)
- Last Updated
- Oct 23, 2023
Practice Information
- Address
-
300 JUBILEE DRPEABODY, MA, 019604068Browse MA providers · Browse ZIP 01960
- Phone
- 9785137588
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PEABODY, MA
| Name | Credential | NPI |
|---|---|---|
| KEVIN MICHAEL KELLEY | PA-C | 1750391108 |
| RICHARD CLOUGH | — | 1427113836 |
| KATHRYN COURTNEY LUCK | PA | 1114134442 |
| FRANK J. IMBRESCIA JR. | P.A.-C | 1396929279 |
| SARAH ANNE RINDNER | PA | 1154556371 |
| DANA THOMAS GUARINO | PA-C | 1720319924 |
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.