Provider Demographics
NPI:1508011396
Name:LUNDIN, KERRY ELIZABETH (PA-C)
Entity Type:Individual
Prefix:MS
First Name:KERRY
Middle Name:ELIZABETH
Last Name:LUNDIN
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:362 N BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:EAST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02333-1148
Mailing Address - Country:US
Mailing Address - Phone:508-350-2350
Mailing Address - Fax:508-350-2318
Practice Address - Street 1:8 COMMERCE BLVD
Practice Address - Street 2:
Practice Address - City:MIDDLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02346-1030
Practice Address - Country:US
Practice Address - Phone:508-350-2350
Practice Address - Fax:508-350-2318
Is Sole Proprietor?:No
Enumeration Date:2008-11-21
Last Update Date:2011-09-08
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Provider Licenses
StateLicense IDTaxonomies
MA2622363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant