Kennealey-Mcmanus, Anne

Kennealey-Mcmanus, Anne is an individual health care provider with primary practice located at 1153 Centre St Faulkner Breast Centre, Boston MA 02130-3446. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Kennealey-Mcmanus, Anne can be contacted via phone (617) 983-7773.

Contact Information

Primary practice address
1153 Centre St Faulkner Breast Centre Boston MA 02130-3446
Phone: (617) 983-7773
Fax: (617) 983-7779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 100002 Massachusetts

Profile Details

NPI number 1811976749
LBN Legal business name Kennealey-Mcmanus, Anne
Credentials NP, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Feb 19th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811976749 NPPES
Massachusetts MEDICAID 0387100

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