Individual provider · Type 1 NPI

Laura Lisa Kenneway

Student in an Organized Health Care Education/Training Program · Jamaica Plain, MA

NPI number 1710850672 Active

Practice location

157 Green St
Jamaica Plain, MA 02130-2667

Call (617) 524-1120 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710850672

Laura Lisa Kenneway's National Provider Identifier is 1710850672, issued on Sep 26, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jamaica Plain, MA. The record was last updated on Sep 26, 2025.