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NPI Profile for JODIE M KENNEDY in WOBURN, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
163WP0200X | |||
Developmental - Behavioral Pediatrics |
2080P0006X | 37 | Physician/Pediatric Medicine |
| NPI Number | 1205617412 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/12/2023 | |
| Last updated | 10/12/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JODIE M KENNEDY
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JODIE M KENNEDY