Kennedy, Christopher C

Kennedy, Christopher C is an individual health care provider with primary practice located at 50 Memorial Dr , Leominster MA 01453-2238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kennedy, Christopher C can be contacted via phone (978) 840-8808.

Contact Information

Primary practice address
50 Memorial Dr Leominster MA 01453-2238
Phone: (978) 840-8808
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 75247 Massachusetts

Profile Details

NPI number 1164406393
LBN Legal business name Kennedy, Christopher C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Nov 29th, 2020 - about 6 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 1164406393 NPPES
Massachusetts MEDICAID 110054539A
Massachusetts MEDICAID 3125777

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