Individual
MICHELLE KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
529 MAIN ST STE 216, CHARLESTOWN, MA 02129-1122
(617) 426-0600
Mailing address
30 WINTER ST FL 9, BOSTON, MA 02108-4720
(617) 426-0600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN2261585
MA
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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