Individual
MR. PETER JOHN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, NP-C
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-5491
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5491
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2308844
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2308844
MA
Other
Enumeration date
08/22/2020
Last updated
01/16/2024
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