Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY C KENNON, M.D.
ActiveSTACEY C KENNON, M.D. is a Pediatrics healthcare provider located in HOLLISTON, Massachusetts. NPI 1356375018 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · HOLLISTON, MA
Registration Details
- NPI Number
- 1356375018
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 10, 2006 (19.912709329184 yrs)
- Last Updated
- Jul 8, 2007
- License
-
73391 (MA)
Practice Information
- Address
-
HOLLISTON PEDIATRIC GROUP100 JEFFREY AVE.HOLLISTON, MA, 01746Browse MA providers · Browse ZIP 01746
- Phone
- 5084292800
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in HOLLISTON, MA
| Name | Credential | NPI |
|---|---|---|
| DR. SALLIE P MADY | MD | 1871544684 |
| LAURA WALPERT ZISBLATT | M.D. | 1447284104 |
| DEBRA ANN M GFELLER | M.D. | 1447284195 |
| RACHEL A VESPOLE | M.D. | 1992804207 |
| MS. ANDREA BETTACCHI URBAN | MD | 1477609295 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.