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

Kylie Larsen

Individual provider Physician Assistant · NPI 1780494278

Kylie Larsen is a Physician Assistant in Quincy, Massachusetts. Qualified in 2025, 1 year ago. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2025

Practice location Address checks out

9 Bicknell St
Quincy, MA 02169-6562
Phone: (617) 376-3000
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA102504 (MA)

Record details

NPI number1780494278
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 8, 2025
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address9 Bicknell St, Quincy, MA 02169-6562

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Quincy