Individual
KENDRA KOULOHERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, FNP-BC, RN
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-7000
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2264152
MA
Other
Enumeration date
12/13/2015
Last updated
03/23/2017
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