Individual
ANN N KENNEFICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
332 WASHINGTON ST, SUITE 380, WELLESLEY, MA 02481-6219
(781) 237-4194
Mailing address
45 WASHBURN AVE, WELLESLEY, MA 02481-5263
(781) 237-7938
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
133500
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP3334
BLUE CROSS
MA
Enumeration date
12/22/2006
Last updated
07/09/2007
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