Most Relevant Information
Provider Data
| NPI Number: | 1003380106 |
| Provider Name: | CHELSEA M MCKIERNAN PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA01090 |
Most Important Dates
| Enumeration Date: | 01/11/2019 |
| Last Updated: | 10/19/2020 |
Provider Practice Location
1 COMMERCE ST STE 200
LINCOLN
RI
028651186
Practice Location Phone/Fax
| Phone: | 4017938500 |
| Fax: | 4017938511 |
Provider Mailing Location
1 COMMERCE ST STE 200
LINCOLN
RI
028651186
Provider Mailing Phone/Fax
| Phone: | 4017938500 |
| Fax: | 4017938511 |