Eileen A Keneck
MD | Pediatric Emergency Medicine | Female
Eileen A Keneck, MD is a Boston, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Eileen A Keneck is
840 Harrison Ave, Menino 1, Boston, Massachusetts - 02118-2905. She can be contacted on phone at
617-414-4991 and fax number 617-414-4999.
Eileen A Keneck is a sole proprietor of her business.
NPI number (Unique professional ID) for Eileen A Keneck is
1316921711 which was assigned by NPPES on 30 Nov, 2005 and it was last updated on 03 Jul, 2014.
Eileen A Keneck license number is
75852 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Massachusetts.
Eileen A Keneck has special qualifications to manage emergencies in infants and children.
Complete Profile:
Eileen A Keneck basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Eileen A Keneck |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Eileen A Keneck address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 840 Harrison Ave, Menino 1
Boston, MA, 02118-2905
United States |
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| Phone Number : | 617-414-4991 |
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| Fax Number : | 617-414-4999 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1316921711 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 30 Nov, 2005 |
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| Last Updated On : | 03 Jul, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eileen A Keneck are as mentioned. Primary taxonomy code for Eileen A Keneck, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 75852 | MA |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 75852 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Eileen A Keneck such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 110051833A | MEDICAID | MA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 720 Harrison Ave, Dob 503
Boston, MA, 02118-2371
United States |
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Business Location:
Patients can refer following map for directions to
Eileen A Keneck practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.