Kenneson, Stephen T
Kenneson, Stephen T is an individual health care provider with primary practice located at Massachusetts General Hospital Cardiac Surgery 55 Fruit Street, Boston MA 02114. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Kenneson, Stephen T can be contacted via phone (617) 726-1861.Contact Information
Primary practice address
Massachusetts General Hospital Cardiac Surgery 55 Fruit Street
Boston MA 02114
Phone: (617) 726-1861
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 527 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 527 | Massachusetts |
Profile Details
| NPI number | 1124178967 |
|---|---|
| LBN Legal business name | Kenneson, Stephen T |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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