Kenyatta Etchison
Health Service
85 E Newton St
Boston
, Massachusetts 02118-2340
Kenyatta Etchison
Health Service
85 E Newton St
Boston
, Massachusetts 02118-2340
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About
Features
Specialties
- Health Service
Languages spoken
- English
Location
First Address
- Kenyatta Etchison
- 290 Quarry St Apt 415
- Quincy, MA
- Zip : 02169-4151
- Phone :
Second Address
- Kenyatta Etchison
- 85 E Newton St
- Boston, MA
- Zip : 02118-2340
- Phone : (617) 414-4646
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TH0100X | Health Service |
National Provider Identifier
| NPI | 1053516328 |
|---|---|
| Provider Name | Kenyatta Etchison |
| First Address | Quincy, MA 02169-4151 |
| Second Address | Boston, MA 02118-2340 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/06/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.