Individual
KATELYN KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
145 ROSEMARY STREET, SUITE C, NEEDHAM, MA 02494-3259
(781) 235-7900
(781) 237-9930
Mailing address
145 ROSEMARY STREET, SUITE C, NEEDHAM, MA 02494-3259
(781) 235-7900
(781) 237-9930
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
RN233086
MA
207Q00000X
Family Medicine Physician
Primary
RN2330863
MA
363LF0000X
Family Nurse Practitioner
RN233086
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110162816A
—
MA
Enumeration date
06/16/2020
Last updated
03/11/2026
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