Individual
KENDALL MCCARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-9364
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-9364
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
165365
MA
363LP0200X
Pediatric Nurse Practitioner
165635
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S53408185
DRIVERS LICENSE
MA
Enumeration date
05/14/2008
Last updated
05/14/2008
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