Individual
JENNIFER ANN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
57 IVY WAY, DURHAM, CT 06422-3315
(203) 314-2629
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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