MEDICARE: KENDIKA ABRAMS MD

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
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	294434	MA
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	2024017756	MO
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1659998714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDIKA ABRAMS MD

Provider Business Mailing Address
First Line	:	330 BROOKLINE AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02215-5491
Country	:	US
Telephone Number	:	330-363-6223
Fax Number	:	330-363-3877

Provider Business Practice Location Address
First Line	:	2600 6TH ST SW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44710-1702
Country	:	US
Telephone Number	:	330-363-6223
Fax Number	:	330-363-3877

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2020
Last Update Date	:	05/04/2026

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