Kenkare, Komal

Kenkare, Komal is an sole proprietor health care provider with primary practice located at 220 Reservoir St Ste 21 , Needham MA 02494-3133. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kenkare, Komal can be contacted via phone (781) 449-1143.

Contact Information

Primary practice address
220 Reservoir St Ste 21 Needham MA 02494-3133
Phone: (781) 449-1143
Fax: (781) 449-5992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN2300320 Massachusetts

Profile Details

NPI number 1114370012
LBN Legal business name Kenkare, Komal
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2016
Last updated Feb 20th, 2020 - about 4 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 1114370012 NPPES
Massachusetts Other RN2300320 NURSE PRACTITIONER LICENSE NUMBER

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