Individual
DR. JAMES FX KENEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 SUMMER ST STE 300, WORCESTER, MA 01608-1216
(508) 368-3103
(508) 368-3104
Mailing address
630 PLANTATION ST, WORCESTER, MA 01605-2038
(508) 368-3103
(508) 368-3104
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
74266
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017055
NEIGHBORHOOD HEALTH
MA
01
—
040004967
TRAVELERS MEDICARE
MA
01
—
074266
TUFTS
MA
01
—
1000006
UNITED HEALTHCARE
MA
01
—
19143
HARVARD PILGRIM MWMC IPA
MA
01
—
19551
HARVARD PILGRIM MILF IPA
MA
01
—
23504
CHILDRENS MEDICAL SEC
MA
05
—
3087514
—
MA
01
—
54857
FALLON DIRECT/SELECT
MA
01
—
61683
USHC
MA
01
—
J11142
BLUE CROSS BLUE SHEILD
MA
Enumeration date
10/05/2006
Last updated
07/21/2022
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