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NPI Code Detail

MEDICARE: KRISTIN B. BEHENNA AGNP

MEDICARE: KRISTIN B. BEHENNA AGNP
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
1207Q00000XFamily Medicine PhysicianRN2312424MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285106856
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN B. BEHENNA AGNP
Provider Business Mailing Address
First Line : 145 ROSEMARY STREET
Second Line : SUITE C
City : NEEDHAM
State : MA
Zip : 02494-3259
Country : US
Telephone Number : 781-235-7900
Fax Number : 781-235-9930
Provider Business Practice Location Address
First Line : 145 ROSEMARY STREET
Second Line : SUITE C
City : NEEDHAM
State : MA
Zip : 02494-3259
Country : US
Telephone Number : 781-235-7900
Fax Number : 781-235-9930
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2018
Last Update Date : 12/01/2025

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