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KELLY E FARRELL
NPI 1003632449
Physician Assistant in Boston, MA

Active since December 02, 2024
136 HARRISON AVE, BOSTON, MA 02111(404) 401-8489 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2026, Dec 2, 2024 (2 updates tracked since 2024).

About Kelly E Farrell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY E FARRELL (NPI 1003632449) is an individual physician assistant in Boston, Massachusetts, licensed in Georgia (13979) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1003632449
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY E FARRELL
Location Address136 HARRISON AVEBoston, MA 02111-1817
Mailing Address136 Harrison AveBoston, MA 02111-1817
Phone(404) 401-8489
Sole ProprietorNo
Enumeration DateDecember 2, 2024
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1003632449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 13979
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
136 HARRISON AVE, Boston, MA 02111
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE AHOLA
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Suffolk County (617) 636-7000
BARBARA SOGOLOFF
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Suffolk County (781) 771-7987
PEYTON NICKERSON
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Suffolk County (207) 408-0825
JOHN CURLEY
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Suffolk County (617) 636-0405
ALEX ADAMS NICKERSON
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Suffolk County (617) 636-6613
LAURYN COELHO
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Suffolk County (617) 636-0405
ALYSSA EMMA MAYMI PA-C
Physician Assistant (Medical)
136 HARRISON AVE
BOSTON, MA 02111
Suffolk County (617) 636-6934
MARIA SMITH
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Suffolk County (971) 279-0683

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Farrell's NPI number?

The NPI number for Kelly Farrell is 1003632449. It was assigned to this individual provider in the NPPES registry on December 2, 2024.

Where is Kelly Farrell located?

Kelly Farrell practices at 136 Harrison Ave, Boston, MA 02111. The listed phone number is (404) 401-8489.

What is Kelly Farrell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kelly Farrell was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.