Individual
ALLISON HALEY KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 MAYNARD ST, NORTHBOROUGH, MA 01532-1108
(508) 393-8768
Mailing address
28 MAYNARD ST, NORTHBOROUGH, MA 01532-1108
(508) 393-8768
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA7080
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/06/2018
Last updated
09/02/2019
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