MR. Kimi San Miguel Diaz, MS, PA-C

NPI #1114632510 in Peabody, Massachusetts

Provider Information

NPI Number: 1114632510
Entity Type: Individual
Name: MR. Kimi San Miguel Diaz, MS, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: MS, PA-C
Enumeration Date: Jan 19, 2023
Last Updated: Oct 23, 2023

Practice Location

Address: 300 JUBILEE DR
City: Peabody
State: Massachusetts
ZIP Code: 01960-4068
Phone: (978) 513-7588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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