Kendra Lynne Church MS PA C

NPI 1043261381 - Physician Assistant - 363A00000X

NPI Details
NPI 1043261381
Gender Female
Enumeration Date 05/12/2006
Last Updated 03/11/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
44 BINNEY STREET
D1 B30
BOSTON MA, 02115-6084, US
Phone (617) 525-7486
Fax (617) 278-6965
Business Location
17 CHESTNUT STREET
STONEHAM MA, 02180, US
Phone (617) 921-8072
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Massachusetts
License Number 1388
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According to our database, Kendra Lynne Church MS PA C NPI is 1043261381, taxonomy code is 363A00000X and license number is 1388, license state is located at Massachusetts. Kendra Lynne Church MS PA C physically located at 44 Binney Street, Boston MA, 02115-6084. NPI Number Kendra Lynne Church MS PA C has the Individual type.

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1043261381 NPI number is provided on an as is basis without warranty of any kind. 1043261381 is maintained by the National Plan & Provider Enumeration System. The contents of Kendra Lynne Church MS PA C are for informational purposes only.