Stephen T Kenneson, PA
Physician Assistant in Boston, Massachusetts
1124178967- Practice location
- Massachusetts General Hospital Cardiac Surgery, 55 Fruit Street, Boston, MA 02114
- Phone
- 617-726-1861
- Fax
- —
- Last updated
- September 11, 2025
Stephen T Kenneson is a Physician Assistant based in Boston, MA. Stephen T Kenneson practices in Boston, MA and has the professional credentials of PA. The NPI Number for Stephen T Kenneson is 1124178967 and holds a License No. 527 (MA). The current practice location address for Stephen T Kenneson is Massachusetts General Hospital Cardiac Surgery, 55 Fruit Street, Boston, MA 02114 and can be reached out via phone at 617-726-1861.
Provider Profile Details
- NPI Number
- 1124178967
- Provider Name
- Stephen T Kenneson
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- Massachusetts General Hospital Cardiac Surgery, 55 Fruit Street, Boston, MA 02114
- Phone Number
- 617-726-1861
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 12, 2007
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Massachusetts General Hospital Cardiac Surgery
55 Fruit Street
Boston, MA 02114 - City
- Boston
- State
- Massachusetts
- Zip
- 02114
- Phone Number
- 617-726-1861
Provider Business Mailing Address Details
- Address
- 163 Gleasondale RD
Stow, MA 01775-1334 - City
- Stow
- State
- MA
- Zip
- 01775-1334
License Information
- License Number (1)
- 527
- License State (1)
- MA
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 527
- License State (2)
- MA
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Stephen T Kenneson, PA?
The NPI number of Stephen T Kenneson, PA is 1124178967. It was assigned on January 12, 2007 and is currently active in the NPPES registry.
What is the specialty of Stephen T Kenneson, PA?
Stephen T Kenneson, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number 527.
Where does Stephen T Kenneson, PA practice?
The practice location is Massachusetts General Hospital Cardiac Surgery, 55 Fruit Street, Boston, MA 02114. The office can be reached at 617-726-1861 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124178967 directly on the NPPES registry website.