ASHLEY KATHRYN PROVOST

SPRINGFIELD, MA
NPI1063987030
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MA  PA6806)
Enumeration Date2018-10-05
Last Update Date2019-04-18
Business Address
ASHLEY KATHRYN PROVOST PA-C
759 CHESTNUT STREET
SPRINGFIELD, MA 01107-1619
Phone number: 413-794-8020
Mailing Address
ASHLEY KATHRYN PROVOST PA-C
280 CHESTNUT STREET 2ND FLOOR
SPRINGFIELD, MA 01199-1001
Phone number: 413-794-5700
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