Individual
JANE F KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
41 MALL RD, HEMATOLOGY DEPARTMENT, BURLINGTON, MA 01805-0001
(781) 744-8400
Mailing address
41 MALL RD, LAHEY CLINIC HEMATOLOGY / ONCOLOGY, BURLINGTON, MA 01805-0001
(781) 744-8400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
204764
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110074737A
—
MA
Enumeration date
12/13/2006
Last updated
12/05/2011
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