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Individual

MISS KATHLEEN S. KENNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
2100 DORCHESTER AVE, DORCHESTER CENTER, MA 02124-5615
(617) 296-4000
(617) 474-3856
Mailing address
36 TRIDENT AVE, WINTHROP, MA 02152-1206
(617) 846-3101

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
151095
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0357235
MA
Enumeration date
10/03/2006
Last updated
07/08/2007
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