Individual
KAITLYN KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(161) 766-7700
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(161) 766-7700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F349061
NY
363LF0000X
Family Nurse Practitioner
Primary
RN2308235
MA
Other
Enumeration date
10/09/2023
Last updated
06/04/2024
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