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

Kevin Wijewardena

Individual provider Physician Assistant · NPI 1053046847

Kevin Wijewardena is a Physician Assistant in Longmeadow, Massachusetts. Licensed in Georgia. Registered with an NPI since 2022.

Licensed in
GA
In the registry since
2022

Practice location Address checks out

588 Longmeadow St
Longmeadow, MA 01106-2212
Phone: (413) 565-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12745 (GA)

Record details

NPI number1053046847
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 18, 2022
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

Other providers in Longmeadow