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Individual

DR. JULIA ANNE KENNISTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
41 RESNIK RD, PLYMOUTH, MA 02360-4842
(781) 934-2400
(508) 746-3930
Mailing address
95 TREMONT ST, SUITE ONE, DUXBURY, MA 02332-4738
(781) 934-2400
(781) 934-0001

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MT185924
PA
207XS0106X
Orthopaedic Hand Surgery Physician
13225
RI
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
247594
MA

Other

Enumeration date
12/12/2006
Last updated
06/01/2020
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