Healthcare Provider Details

I. General information

NPI: 1538092960
Provider Name (Legal Business Name): KERRI E FLYNN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 BINNEY ST
BOSTON MA
02115-6084
US

IV. Provider business mailing address

50 COLCHESTER ST
READVILLE MA
02136-2339
US

V. Phone/Fax

Practice location:
  • Phone: 617-632-3000
  • Fax:
Mailing address:
  • Phone: 617-582-9557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number80650
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: