KELLY GRAM P.A. NPI 1316262454

NPI Information

NPI: 1316262454
Provider Name: KELLY GRAM, P.A.
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
330 MOUNT AUBURN ST
DEPARTMENT OF SURGERY
CAMBRIDGE, MA
ZIP 02138
Phone: (617) 499-5150
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Kelly Gram, P.A. is a surgical physician assistant in Cambridge, MA. Kelly Gram, P.A. NPI is 1316262454. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

330 MOUNT AUBURN ST
DEPARTMENT OF SURGERY
CAMBRIDGE, MA
ZIP 02138-502
Phone: (617) 499-5150

The enumeration date for this NPI number is 4/1/2010 and was last updated on 2/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA3921	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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