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Eileen A Keneck

Pediatrician Pediatric Emergency Doctor

840 Harrison Ave Menino 1
Boston , Massachusetts 02118-2905

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Eileen A Keneck

Pediatrician Pediatric Emergency Doctor

840 Harrison Ave Menino 1
Boston , Massachusetts 02118-2905

Write a Review Save Call

Eileen A Keneck

Pediatrician Pediatric Emergency Doctor

840 Harrison Ave Menino 1
Boston , Massachusetts 02118-2905

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatrician
  • Pediatric Emergency Doctor

Languages spoken

  • English

Location

840 Harrison Ave Menino 1 Boston , Massachusetts 02118-2905

First Address

  • Eileen A Keneck
  • 720 Harrison Ave Dob 503
  • Boston, MA
  • Zip : 02118-2371
  • Phone :

Second Address

  • Eileen A Keneck
  • 840 Harrison Ave Menino 1
  • Boston, MA
  • Zip : 02118-2905
  • Fax : (617) 414-4999
  • Phone : (617) 414-4991

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FAQs


Where did Eileen A Keneck attend graduate school?

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Where did Eileen A Keneck do her residency?

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Where did Eileen A Keneck do her fellowship?

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Is Eileen A Keneck board certified?

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What type of doctor is Eileen A Keneck

Pediatric Emergency Doctor

In what state does Eileen A Keneck practice in?

Massachusetts

Where is Eileen A Keneck ’s practice located?

840 Harrison Ave Menino 1 , Boston, Massachusetts, 02118-2905

What is Eileen A Keneck ’s gender?

Female

Is Eileen A Keneck a sole practitioner?

No

Is Eileen A Keneck accepting new patients?

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What languages does Eileen A Keneck speak?

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Does Eileen A Keneck accept insurance?

Yes, Eileen A Keneck accepts insurance

Does Eileen A Keneck offers telemedicine?

Eileen A Keneck has not indicated if she offers telemedicine

What is Eileen A Keneck ’s professional license number?

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What is Eileen A Keneck ’s NPI number?

1316921711

Does Eileen A Keneck have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 208000000X Pediatrician 75852 MA
Y 2080P0204X Pediatric Emergency Doctor 75852 MA

National Provider Identifier

NPI 1316921711
Provider Name Eileen A Keneck
First Address Boston, MA 02118-2371
Second Address Boston, MA 02118-2905
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 30/11/2005
Last Update Date 03/07/2014

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
110051833A (05) MA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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