Individual
KENAI HATTORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
125 PARKER HILL AVE, BOSTON, MA 02120-2847
(617) 754-5000
Mailing address
125 PARKER HILL AVE, BOSTON, MA 02120-2847
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5009869
NC
363LF0000X
Family Nurse Practitioner
Primary
RN2291008
MA
Other
Enumeration date
07/25/2016
Last updated
09/18/2018
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