Active NPIIndividual providerSole proprietor

John W Kenagy, MD

Surgery in Cambridge, Massachusetts

NPI Number1548460850
Practice location
625 Mount Auburn St, Cambridge, MA 02138-4555
Fax
617-491-5161
Last updated
July 24, 2007

John Warner Kenagy is a Surgery based in Cambridge, MA. John Warner Kenagy practices in Cambridge, MA and has the professional credentials of MD. The NPI Number for John Warner Kenagy is 1548460850 and holds a License No. md00013062 (WA). The current practice location address for John Warner Kenagy is 625 Mount Auburn St, Cambridge, MA 02138-4555 and can be reached out via phone at 617-491-1476 and via fax at 617-491-5161.

Provider Profile Details

NPI Number
1548460850
Provider Name
John Warner Kenagy
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
625 Mount Auburn St, Cambridge, MA 02138-4555
Phone Number
617-491-1476
Fax Number
617-491-5161
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
Yes
Provider Enumeration Date
July 24, 2007
Last Update Date
July 24, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
625 Mount Auburn St
Cambridge, MA 02138-4555
Zip
02138-4555
Phone Number
617-491-1476
Fax Number
617-491-5161
Cambridge, MA 02138Get directions →

Provider Business Mailing Address Details

Address
625 Mount Auburn St
Cambridge, MA 02138-4555
City
Cambridge
State
MA
Zip
02138-4555
Phone Number
617-491-1476
Fax Number
617-491-5161

License Information

License Number
md00013062
License State
WA
Taxonomy
Surgery · 208600000X · 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 John W Kenagy, MD?

The NPI number of John W Kenagy, MD is 1548460850. It was assigned on July 24, 2007 and is currently active in the NPPES registry.

What is the specialty of John W Kenagy, MD?

John W Kenagy, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in WA under license number md00013062.

Where does John W Kenagy, MD practice?

The practice location is 625 Mount Auburn St, Cambridge, MA 02138-4555. The office can be reached at 617-491-1476 (phone) or 617-491-5161 (fax).

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 1548460850 directly on the NPPES registry website.

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