Individual
KEVIN J ENNIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 LINDALL STREET, CENTER FOR HEALTHY AGING, DANVERS, MA 01923
(978) 774-4400
Mailing address
75 LINDALL STREET, CENTER FOR HEALTHY AGING, DANVERS, MA 01923
(978) 774-4400
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
225012
MA
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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