Provider Demographics
NPI:1528638012
Name:DIPILLA, KALI (PA)
Entity type:Individual
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First Name:KALI
Middle Name:
Last Name:DIPILLA
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:4B CHERYLS WAY
Mailing Address - Street 2:
Mailing Address - City:BOYLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01505-2059
Mailing Address - Country:US
Mailing Address - Phone:978-660-3754
Mailing Address - Fax:
Practice Address - Street 1:4B CHERYLS WAY
Practice Address - Street 2:
Practice Address - City:BOYLSTON
Practice Address - State:MA
Practice Address - Zip Code:01505-2059
Practice Address - Country:US
Practice Address - Phone:978-660-3754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant