Provider Demographics
NPI:1497964001
Name:KAYE, AMANDA MEAGAN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:MEAGAN
Last Name:KAYE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:29 STRATFORD RD
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-1233
Mailing Address - Country:US
Mailing Address - Phone:770-539-0190
Mailing Address - Fax:
Practice Address - Street 1:123 SUMMER ST
Practice Address - Street 2:SUITE 280 NORTH
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1216
Practice Address - Country:US
Practice Address - Phone:508-363-6050
Practice Address - Fax:508-363-9205
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2015-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2527363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant