Individual
MARY GABRIELLE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
75 FRANCIS ST, BRIGHAM & WOMEN'S HOSPITAL, BOSTON, MA 02115-6110
(617) 732-5636
Mailing address
504 HARVARD ST, EAST BRIDGEWATER, MA 02333-1116
(508) 456-1003
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
119957
MA
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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