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

Khare Wilson, PA

Individual provider Surgical Physician Assistant · NPI 1689003675

Khare Wilson, PA is a Physician Assistant in Boston, Massachusetts. Qualified in 2013, 13 years ago. Practices with Cambridge Public Health Commission, a 649-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
13
Licensed in
MA
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

330 Brookline Ave
Boston, MA 02215-5400
Phone: (617) 667-7672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA4863 (MA)

Record details

NPI number1689003675
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedNovember 11, 2013
Last updated in NPPESNovember 11, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Cambridge Public Health Commission — 649 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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