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NPI Code Detail

MEDICARE: KATHLEEN KENNEDY MCCAREY NP

MEDICARE: KATHLEEN KENNEDY MCCAREY NP
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
1207R00000XInternal Medicine Physician230118MA
2363LF0000XFamily Nurse Practitioner230118MA

General Provider Information

NPI Number : 1326051582
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN KENNEDY MCCAREY NP
Provider Business Mailing Address
First Line : PO BOX 9142
Second Line : MASS GENERAL PHYSICIAN ORGANIZATION
City : CHARLESTOWN
State : MA
Zip : 02129-9142
Country : US
Telephone Number : 617-724-0287
Fax Number : 617-726-2894
Provider Business Practice Location Address
First Line : 70 FULTON ST
Second Line :
City : BOSTON
State : MA
Zip : 02109-1402
Country : US
Telephone Number : 617-726-9912
Fax Number : 617-726-9754
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2006
Last Update Date : 07/21/2015

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