Kedian, Tracy L

Kedian, Tracy L is an individual health care provider with primary practice located at 279 Lincoln St , Worcester MA 01605-2120. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kedian, Tracy L can be contacted via phone (508) 334-8830.

Contact Information

Primary practice address
279 Lincoln St Worcester MA 01605-2120
Phone: (508) 334-8830
Fax: (508) 334-8810
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 159787 Massachusetts

Profile Details

NPI number 1255485231
LBN Legal business name Kedian, Tracy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Sep 26th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255485231 NPPES
Massachusetts MEDICAID 1300709 (GROUP)
Massachusetts Other Y10141

Popular Providers