Individual provider · Type 1 NPI
Stephen T. Kenneson, PA
Physician Assistant · Boston, MA
Practice location
Massachusetts General Hospital Cardiac Surgery, 55 Fruit Street
Boston, MA 02114
Mailing address
163 Gleasondale Rd
Stow, MA 01775-1334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 527 (MA) |
| Surgical Physician Assistant | 363AS0400X | 527 (MA) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1124178967
Stephen T. Kenneson, PA's National Provider Identifier is 1124178967, issued on Jan 12, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boston, MA. The record was last updated on Sep 11, 2025.