Individual
CHRISTOPHER C KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 MEMORIAL DR, LEOMINSTER, MA 01453-2238
(978) 840-8808
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
75247
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110054539A
—
MA
05
—
3125777
—
MA
Enumeration date
12/01/2005
Last updated
11/29/2020
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