Provider Demographics
NPI:1801661624
Name:GOOSSENS, KRYSTEN KARA (PA-C)
Entity type:Individual
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First Name:KRYSTEN
Middle Name:KARA
Last Name:GOOSSENS
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:54 BAKER AVENUE EXT STE 200
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-2137
Mailing Address - Country:US
Mailing Address - Phone:978-369-5391
Mailing Address - Fax:
Practice Address - Street 1:54 BAKER AVENUE EXT STE 200
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2137
Practice Address - Country:US
Practice Address - Phone:978-369-5391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-21
Last Update Date:2024-08-29
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant