Individual
MRS. LINWOOD W. KENNEALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
107 LINCOLN ST, WORCESTER, MA 01605-2401
(508) 453-3028
Mailing address
74 MAPLE DELL LN, HOLLISTON, MA 01746-2434
(617) 212-4004
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1362
MA
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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