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Kelley A. Prendergast, PA

Physician Assistant · Gardner, MA

UnclaimedPANPI 1033189352
Primary taxonomy
363A00000X
Enumerated
2006-01-26
Practice location
Gardner, MA
Last NPPES update
2015-10-28

State licenses

  • MA · Physician assistant · NPPES self-reportedListed on NPI record

“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.