Healthcare Provider Details

I. General information

NPI: 1770809147
Provider Name (Legal Business Name): SYLVIA KEHLENBRINK OH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2010
Last Update Date: 10/05/2020
Certification Date: 10/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 LONGWOOD AVENUE, RFB-2 BWH, ENDOCRINOLOGY, DIABETES AND HYPERTENSION
BOSTON MA
02115
US

IV. Provider business mailing address

221 LONGWOOD AVENUE, RFB-2 BWH, ENDOCRINOLOGY, DIABETES AND HYPERTENSION
BOSTON MA
02115
US

V. Phone/Fax

Practice location:
  • Phone: 617-732-5661
  • Fax: 617-525-0436
Mailing address:
  • Phone: 617-732-5661
  • Fax: 617-732-5764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number275002
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: