Individual
CAROLYN J. KENDALL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
15 STRAW AVE, FLORENCE, MA 01062-1464
(413) 584-4793
(413) 585-0018
Mailing address
15 STRAW AVE, FLORENCE, MA 01062-1464
(413) 584-4793
(413) 585-0018
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
158845
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007740
BMC
MA
05
—
0121801
—
MA
01
—
102748
CIGNA
MA
01
—
158845
TUFTS
MA
01
—
2500967
AETNA
MA
01
—
27158
HNE
MA
01
—
69915
HARVARD PILGRIM
MA
01
—
J22686
BCBSMA
MA
Enumeration date
03/23/2006
Last updated
07/08/2007
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