Active NPIIndividual provider

Mr. Peter J Kennedy, MSN, NP-C

Nurse Practitioner, Gerontology in Burlington, Massachusetts

NPI Number1558973396
Practice location
41 Mall RD, Burlington, MA 01805-5491
Phone
—
Fax
—
Last updated
January 16, 2024

Peter John Kennedy is a Nurse Practitioner, Gerontology based in Burlington, MA. Peter John Kennedy practices in Burlington, MA and has the professional credentials of MSN, NP-C. The NPI Number for Peter John Kennedy is 1558973396 and holds a License No. RN2308844 (MA). The current practice location address for Peter John Kennedy is 41 Mall RD, Burlington, MA 01805-5491.

Provider Profile Details

NPI Number
1558973396
Provider Name
Peter John Kennedy
Credential
MSN, NP-C
Provider Entity Type
Individual
Gender
Male
Address
41 Mall RD, Burlington, MA 01805-5491
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Provider Enumeration Date
August 22, 2020
Last Update Date
January 16, 2024
Certification Date
January 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Mall RD
Burlington, MA 01805-5491
Zip
01805-5491
Burlington, MA 01805Get directions →

Provider Business Mailing Address Details

Address
330 Brookline Ave
Boston, MA 02215-5491
City
Boston
State
MA
Zip
02215-5491

License Information

License Number (1)
RN2308844
License State (1)
MA
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
RN2308844
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Gerontology · 363LG0600X · 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 Mr. Peter J Kennedy, MSN, NP-C?

The NPI number of Mr. Peter J Kennedy, MSN, NP-C is 1558973396. It was assigned on August 22, 2020 and is currently active in the NPPES registry.

What is the specialty of Mr. Peter J Kennedy, MSN, NP-C?

Mr. Peter J Kennedy, MSN, NP-C is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in MA under license number RN2308844.

Where does Mr. Peter J Kennedy, MSN, NP-C practice?

The practice location is 41 Mall RD, Burlington, MA 01805-5491..

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 1558973396 directly on the NPPES registry website.

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