Altavesta, Kylie

Altavesta, Kylie is an sole proprietor health care provider with primary practice located at 330 Baker Ave , Concord MA 01742-2129. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Altavesta, Kylie can be contacted via phone (978) 287-9350.

Contact Information

Primary practice address
330 Baker Ave Concord MA 01742-2129
Phone: (978) 287-9350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1235776832
LBN Legal business name Altavesta, Kylie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2019
Last updated Jun 5th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers