Individual
MRS. THERESA ANN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5179
Mailing address
51 LAKE VIEW AVE, LYNN, MA 01904-2345
(781) 581-3199
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
148447
MA
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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