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Individual

KENNETH ROBERT LUNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
75 STATE ST, 26TH FLOOR, BOSTON, MA 02109-1827
(617) 204-0200
Mailing address
75 STATE ST, 26TH FLOOR, BOSTON, MA 02109-1827
(617) 204-3500

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102204429
VA
207R00000X
Internal Medicine Physician
DO162266
OR

Other

Enumeration date
02/15/2006
Last updated
07/02/2021
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