DR. LISA BRAZZAMANO KENNEY MD NPI 1861447807

NPI Information

NPI: 1861447807
Provider Name: DR. LISA BRAZZAMANO KENNEY, MD
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
44 BINNEY ST
DANA FARBER CANCER INSTITUTE
BOSTON, MA
ZIP 02115
Phone: (617) 632-2292
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DR. Lisa Brazzamano Kenney, MD is a pediatric hematology-oncology pediatrics in Boston, MA. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. DR. Lisa Brazzamano Kenney, MD NPI is 1861447807. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

44 BINNEY ST
DANA FARBER CANCER INSTITUTE
BOSTON, MA
ZIP 02115
Phone: (617) 632-2292

The NPI 1861447807 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	81991	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	3145425	OTHER	MASS HEALTH (MA MEDICAID)
2	97496	OTHER	FALLON COMMUNITY HEALTH P
3	1888596	OTHER	CIGNA
4	081991	OTHER	TUFTS
5	G20241	MEDICARE UPIN
6	J16320	OTHER	BCBS OF MA, INDEMNITY, BC
7	9358	OTHER	HPHC (DFCI ONLY)
8	A20909	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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