Individual
DR. KENDRA DERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE, DEPARTMENT OF ANESTHESIA, BOSTON, MA 02215
(617) 667-3112
(617) 754-8791
Mailing address
330 BROOKINE AVE, DEPARTMENT OF ANESTHESIA, BOSTON, MA 02215
(617) 667-3112
(617) 754-8791
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
290892
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/26/2021
Last updated
07/12/2022
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