Provider Demographics
NPI:1932759917
Name:MESMAN-HALLMAN, KIRA (PA-C)
Entity Type:Individual
Prefix:
First Name:KIRA
Middle Name:
Last Name:MESMAN-HALLMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 BRIMMER ST APT 9
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02108-1039
Mailing Address - Country:US
Mailing Address - Phone:858-822-8810
Mailing Address - Fax:
Practice Address - Street 1:49 BRIMMER ST APT 9
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108-1039
Practice Address - Country:US
Practice Address - Phone:858-822-8810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-12
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant