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Contact Information

KERRY EATON
66 CONCORD ST
WILMINGTON, MA01887
 Phone: 978-694-9610
 Fax: 978-694-9533
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KERRY EATON · (Female)

NPI Number 1164180659
Status Active
Credentials
Entity Individual
Enumeration date 12/02/2021
Last updated 04/10/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • MA License # PA8930
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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