Individual
MS. MARY L MCKENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
102 PINE ST, QUINCY, MA 02170-1208
(617) 632-3233
(617) 632-6665
Mailing address
102 PINE ST, QUINCY, MA 02170-1208
(617) 632-3233
(617) 632-6665
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
168445
MA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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