Kennedy, Kevin D.

Kennedy, Kevin D. is an individual health care provider with primary practice located at 1250 Hancock St , Quincy MA 02169-4339. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kennedy, Kevin D. can be contacted via phone (617) 774-0920.

Contact Information

Primary practice address
1250 Hancock St Quincy MA 02169-4339
Phone: (617) 774-0920
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 103502 Massachusetts

Profile Details

NPI number 1215976980
LBN Legal business name Kennedy, Kevin D.
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Apr 7th, 2009 - about 17 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 1215976980 NPPES
Massachusetts Other P07065 BLUE CROSS

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