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Individual

KENYA DANAE PALMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
732 HARRISON AVE, PRESTON, 2ND FLOOR, BOSTON, MA 02118-2309
(617) 638-7470
(617) 638-7449
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2277671
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110097916A
MA
Enumeration date
08/02/2013
Last updated
09/27/2017
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