Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenny Thomas Severino

Individual provider Physician Assistant · NPI 1316788409

Kenny Thomas Severino is a Physician Assistant in Longmeadow, Massachusetts. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

588 Longmeadow St
Longmeadow, MA 01106-2292
Phone: (413) 565-1317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1316788409
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 4, 2024
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address588 Longmeadow St, Longmeadow, MA 01106-2292

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