Individual
KENNETH RAY MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-9111
Mailing address
40 FLORIDA RD, SOMERS, CT 06071-1665
(860) 707-5048
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA8235
MA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/22/2021
Last updated
11/20/2023
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