Dennehy, Kevin C

Dennehy, Kevin C is an individual health care provider with primary practice located at 55 Fruit St Cln 3, Boston MA 02114-2696. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Dennehy, Kevin C can be contacted via phone (617) 726-3030.

Contact Information

Primary practice address
55 Fruit St Cln 3 Boston MA 02114-2696
Phone: (617) 726-3030
Fax: (617) 726-7536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 153601 Massachusetts

Profile Details

NPI number 1386634012
LBN Legal business name Dennehy, Kevin C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386634012 NPPES
Massachusetts Other 153601 TUFTS HEALTH PLAN
Massachusetts MEDICAID 3179486 TUFTS HEALTH PLAN
Massachusetts Other J18923 TUFTS HEALTH PLAN

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