Individual
KENNY CHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-7622
Mailing address
450 CLARKSON AVENUE, BOX 1228, DEPT. OF EMERGENCY MEDICINE, BROOKLYN, NY 11203-2012
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1014728
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2018
Last updated
01/12/2024
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