Provider Demographics
NPI:1629646252
Name:ROBINSON, KELLY (PA-C)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:10 PARKWAY RD APT 6
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-5414
Mailing Address - Country:US
Mailing Address - Phone:757-567-1156
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:AUSTEN 7
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-726-5200
Practice Address - Fax:617-724-7311
Is Sole Proprietor?:No
Enumeration Date:2021-06-10
Last Update Date:2021-06-30
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant