Individual
KENDRA LYNNE CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PA C
Contact information
Practice address
44 BINNEY STREET, D1 B30, BOSTON, MA 02115-6084
(617) 525-7486
(617) 278-6965
Mailing address
17 CHESTNUT STREET, STONEHAM, MA 02180
(617) 921-8072
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1388
MA
Other
Enumeration date
05/12/2006
Last updated
03/11/2015
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