Kennedy, Stacy

Kennedy, Stacy is an sole proprietor health care provider with primary practice located at 1404 Commonwealth Ave #4, Brighton MA 02135-3722. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Kennedy, Stacy can be contacted via phone (617) 713-2835.

Contact Information

Primary practice address
1404 Commonwealth Ave #4 Brighton MA 02135-3722
Phone: (617) 713-2835
Fax: (617) 632-4095
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI1769 Maine
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1338 New Hampshire
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1287 Massachusetts

Profile Details

NPI number 1235149931
LBN Legal business name Kennedy, Stacy
Credentials MPH,RD,LDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Nov 3rd, 2022 - about 3 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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