Individual
HENRIETTA KERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
147 MILK ST, BOSTON, MA 02109-4806
(617) 654-7300
(617) 654-7164
Mailing address
147 MILK ST, BOSTON, MA 02109-4806
(617) 654-7300
(617) 654-7164
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
237867
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2163179
—
MA
Enumeration date
01/22/2007
Last updated
09/09/2011
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