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MS. ELIZABETH ELLEN KENNEDY
NPI 1124167861
Nurse Practitioner - Adult Health in Boston, MA

Active since February 06, 2007
75 FENWOOD RD., MASSACHUSETTS MENTAL HEALTH CENTER, BOSTON, MA 02115(617) 626-9326(617) 626-9578 Get Directions Write a Review

NPPES record last updated: November 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Elizabeth Ellen Kennedy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ELIZABETH ELLEN KENNEDY (NPI 1124167861) is an individual adult health provider in Boston, Massachusetts, licensed in Massachusetts (146061) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1124167861
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. ELIZABETH ELLEN KENNEDY
Location Address75 FENWOOD RD., MASSACHUSETTS MENTAL HEALTH CENTERBoston, MA 02115
Mailing Address2 Hammond PlMedford, MA 02155-2232 · (781) 395-8616 · Fax (617) 626-9591
Phone(617) 626-9326
Fax(617) 626-9578
Sole ProprietorNo
Enumeration DateFebruary 6, 2007
Last NPPES UpdateNovember 23, 2011
✔ NPI 1124167861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MA · 146061
75 FENWOOD RD., Boston, MA 02115
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Other Identifiers 2

Medicare ID-Type UnspecifiedKENP4208MA
Medicare UPINP93120MA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Kennedy's NPI number?

The NPI number for Elizabeth Kennedy is 1124167861. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Elizabeth Kennedy located?

Elizabeth Kennedy practices at 75 Fenwood Rd. Massachusetts Mental Health Center, Boston, MA 02115. The listed phone number is (617) 626-9326.

What is Elizabeth Kennedy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Elizabeth Kennedy was last updated on November 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.