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Individual

PARDON KENNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1153 CENTRE ST, BOSTON, MA 02130-3446
(617) 522-5800
Mailing address
PO BOX 9135, ATT:SHARON SILVA, BROOKLINE, MA 02446-9135
(800) 927-0002

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
49434
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3048322
MA
Enumeration date
11/10/2005
Last updated
02/11/2010
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