Kennedy, Karen Olsen

Kennedy, Karen Olsen is an individual health care provider with primary practice located at 637 Washington St , Dorchester Center MA 02124-3510. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kennedy, Karen Olsen can be contacted via phone (617) 825-9660.

Contact Information

Primary practice address
637 Washington St Dorchester Center MA 02124-3510
Phone: (617) 825-9660
Fax: (617) 288-7898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 54035 Massachusetts

Profile Details

NPI number 1932175734
LBN Legal business name Kennedy, Karen Olsen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Dec 3rd, 2010 - about 15 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 1932175734 NPPES
Massachusetts MEDICAID 3103102

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