Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY R RIDGE, PAC
ActiveKELLY R RIDGE, PAC is a Surgical Physician Assistant healthcare provider located in BROCKTON, Massachusetts. NPI 1992789739 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · BROCKTON, MA
Registration Details
- NPI Number
- 1992789739
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 5, 2005 (20.66460922737 yrs)
- Last Updated
- Feb 10, 2025
- License
-
1104 (MA)
Practice Information
- Address
-
680 CENTRE STBROCKTON, MA, 023023308Browse MA providers · Browse ZIP 02302
- Phone
- 5089417000
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in BROCKTON, MA
| Name | Credential | NPI |
|---|---|---|
| JAMES VINCENT SAURO | PA | 1265417042 |
| MICHELLE EJIOFOR | — | 1942586292 |
| MRS. SHAWNA MAE BUCCHERE | PA-C | 1588096655 |
| MATTHEW K. HAGA | PA | 1316311723 |
| MRS. LAUREN LENIHAN | FNP | 1760023444 |
| ALEXIS HEATHER CHEN | PA-C | 1477195089 |
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.