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Individual

KRISTEN RAUST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
840 HARRISON AVE, BOSTON, MA 02118-2905
(617) 638-6610
(617) 638-6616
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
(617) 414-5405

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA100122
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110204642A
MA
05
3143348
NH
Enumeration date
09/27/2023
Last updated
11/21/2025
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