Stacey C Kennon, MD
Pediatrics in Holliston, Massachusetts
1356375018- Practice location
- Holliston Pediatric Group, 100 Jeffrey Ave., Holliston, MA 01746
- Phone
- 508-429-2800
- Fax
- —
- Last updated
- July 8, 2007
Stacey C Kennon is a Pediatrics based in Holliston, MA. Stacey C Kennon practices in Holliston, MA and has the professional credentials of MD. The NPI Number for Stacey C Kennon is 1356375018 and holds a License No. 73391 (MA). The current practice location address for Stacey C Kennon is Holliston Pediatric Group, 100 Jeffrey Ave., Holliston, MA 01746 and can be reached out via phone at 508-429-2800.
Provider Profile Details
- NPI Number
- 1356375018
- Provider Name
- Stacey C Kennon
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- Holliston Pediatric Group, 100 Jeffrey Ave., Holliston, MA 01746
- Phone Number
- 508-429-2800
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 10, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Holliston Pediatric Group
100 Jeffrey Ave.
Holliston, MA 01746 - City
- Holliston
- State
- Massachusetts
- Zip
- 01746
- Phone Number
- 508-429-2800
Provider Business Mailing Address Details
- Address
- Holliston Pediatric Group
100 Jeffrey Ave.
Holliston, MA 01746 - City
- Holliston
- State
- MA
- Zip
- 01746
- Phone Number
- 508-429-2800
License Information
- License Number
- 73391
- License State
- MA
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Holliston, MA
View all Pediatrics providers in Holliston →Frequently Asked Questions
What is the NPI number of Stacey C Kennon, MD?
The NPI number of Stacey C Kennon, MD is 1356375018. It was assigned on July 10, 2006 and is currently active in the NPPES registry.
What is the specialty of Stacey C Kennon, MD?
Stacey C Kennon, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 73391.
Where does Stacey C Kennon, MD practice?
The practice location is Holliston Pediatric Group, 100 Jeffrey Ave., Holliston, MA 01746. The office can be reached at 508-429-2800 (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 1356375018 directly on the NPPES registry website.