Individual
MS. ELIZABETH ELLEN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 FENWOOD RD., MASSACHUSETTS MENTAL HEALTH CENTER, BOSTON, MA 02115
(617) 626-9326
(617) 626-9578
Mailing address
2 HAMMOND PL, MEDFORD, MA 02155-2232
(781) 395-8616
(617) 626-9591
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
146061
MA
Other
Enumeration date
02/06/2007
Last updated
11/23/2011
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