Individual
KEEVA LEIGH THURMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3068
(508) 334-4297
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA102488
MA
363A00000X
Physician Assistant
Primary
PA9113084
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110233430A
—
MA
Enumeration date
05/21/2019
Last updated
07/02/2026
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