Individual
SHAWNA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
801 MASSACHUSETTS AVE, CROSSTOWN 2, BOSTON, MA 02118-0211
(617) 414-7399
(617) 414-4676
Mailing address
801 ALBANY STREET, BOSTON MEDICAL CENTER PROVIDER ENROL, FL GROUND, BOSTON, MA 02119
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2266913
MA
Other
Enumeration date
09/10/2019
Last updated
11/04/2021
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