Individual
MADELINE KENNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
11201 RIVERSEDGE CT, LOVELAND, OH 45140-8268
(513) 833-7945
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NA
MA
Other
Enumeration date
11/22/2020
Last updated
06/15/2021
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