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Individual
KATELYN KENNY
Active
Individual
KATELYN KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
RN233086
MA
207Q00000X
Family Medicine Physician
Primary
RN2330863
MA
363LF0000X
Family Nurse Practitioner
RN233086
MA
Other
Enumeration date
06/16/2020
Last updated
03/11/2026
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