Healthcare Provider Details

I. General information

NPI: 1144291741
Provider Name (Legal Business Name): KENNETH RICE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2006
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 BOYLSTON ST STE 400
NEWTON MA
02459-2863
US

IV. Provider business mailing address

345 BOYLSTON ST STE 400
NEWTON MA
02459-2863
US

V. Phone/Fax

Practice location:
  • Phone: 617-482-7800
  • Fax: 617-802-7001
Mailing address:
  • Phone: 617-482-7800
  • Fax: 617-802-7001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberM42042
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: