Most Relevant Information
Provider Data
| NPI Number: | 1003248204 |
| Provider Name: | KELLY LYNN KENNEDY NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN2269814 |
Most Important Dates
| Enumeration Date: | 07/30/2013 |
| Last Updated: | 10/28/2019 |
Provider Practice Location
137 W CENTRAL ST
NATICK
MA
017604310
Practice Location Phone/Fax
| Phone: | 5086552109 |
| Fax: |
Provider Mailing Location
199 WINTHROP RD
APT 33
BROOKLINE
MA
024454485
Provider Mailing Phone/Fax
| Phone: | 5189299218 |
| Fax: |