Active NPIIndividual provider

Kevin J Ennis, MD

Internal Medicine, Geriatric Medicine in Danvers, Massachusetts

NPI Number1508804725
Practice location
75 Lindall Street, Center For Healthy Aging, Danvers, MA 01923
Fax
—
Last updated
July 13, 2026

Kevin J Ennis is an Internal Medicine, Geriatric Medicine based in Danvers, MA. Kevin J Ennis practices in Danvers, MA and has the professional credentials of MD. The NPI Number for Kevin J Ennis is 1508804725 and holds a License No. 225012 (MA). The current practice location address for Kevin J Ennis is 75 Lindall Street, Center For Healthy Aging, Danvers, MA 01923 and can be reached out via phone at 978-774-4400.

Provider Profile Details

NPI Number
1508804725
Provider Name
Kevin J Ennis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
75 Lindall Street, Center For Healthy Aging, Danvers, MA 01923
Phone Number
978-774-4400
Primary Taxonomy
Internal Medicine, Geriatric Medicine · 207RG0300X
Sole Proprietor
No
Provider Enumeration Date
June 2, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Lindall Street
Center For Healthy Aging
Danvers, MA 01923
Zip
01923
Phone Number
978-774-4400
Danvers, MA 01923Get directions →

Provider Business Mailing Address Details

Address
75 Lindall Street
Center For Healthy Aging
Danvers, MA 01923
City
Danvers
State
MA
Zip
01923
Phone Number
978-774-4400

License Information

License Number
225012
License State
MA
Taxonomy
Internal Medicine, Geriatric Medicine · 207RG0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Kevin J Ennis, MD?

The NPI number of Kevin J Ennis, MD is 1508804725. It was assigned on June 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Kevin J Ennis, MD?

Kevin J Ennis, MD is registered under the primary taxonomy Internal Medicine, Geriatric Medicine (code 207RG0300X), licensed in MA under license number 225012.

Where does Kevin J Ennis, MD practice?

The practice location is 75 Lindall Street, Center For Healthy Aging, Danvers, MA 01923. The office can be reached at 978-774-4400 (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 1508804725 directly on the NPPES registry website.

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