Kourtney Kacian, PHYSICIAN ASSISTANT

NPI #1154059277 in Somerville, Massachusetts

Provider Information

NPI Number: 1154059277
Entity Type: Individual
Name: Kourtney Kacian, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Aug 9, 2022
Last Updated: Aug 9, 2022

Practice Location

Address: 40 HOLLAND ST
City: Somerville
State: Massachusetts
ZIP Code: 02144-2705
Phone: (617) 629-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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