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NPI Code Detail

MEDICARE: DR. JAMES ALLEN KENNEDY M.D.

MEDICARE: DR. JAMES ALLEN KENNEDY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician42138MA

General Provider Information

NPI Number : 1194811711
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES ALLEN KENNEDY M.D.
Provider Business Mailing Address
First Line : 55 COLONIAL DRIVE
Second Line :
City : SHREWSBURY
State : MA
Zip : 01545
Country : US
Telephone Number : 508-845-6921
Fax Number :
Provider Business Practice Location Address
First Line : 88 LINCOLN ST
Second Line :
City : FRAMINGHAM
State : MA
Zip : 01702-6354
Country : US
Telephone Number : 508-879-9800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 07/08/2007

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