Organization
PARDON R. KENNEY, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARDON R. KENNEY MD (OWNER)
(617) 983-7212
Entity
Organization
Contact information
Practice address
1153 CENTRE ST, FAULKNER HOSPITAL, DEPARTMENT OF SURGERY, BOSTON, MA 02130-3446
(617) 983-7212
Mailing address
PO BOX 9132, BROOKLINE, MA 02446-9132
(800) 927-0002
(603) 893-8886
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
49434
MA
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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