Individual
JODIE MARIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 WOOD ST, WOBURN, MA 01801-3709
(617) 610-7510
Mailing address
49 WOOD ST, WOBURN, MA 01801-3709
(617) 834-3686
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN260444
MA
2080P0006X
Developmental - Behavioral Pediatrics Physician
RN260444
MA
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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