Mark Kennard, LICSW

NPI 1376851337 · on the registry since 2010 · sole proprietor

Practice

Address: 280 Union St
2nd Floor
Lynn, MA 01901
Phone: (781) 581-9270
Fax: (781) 581-8413
Organisation at this address: Willow Pharmacy
Bayon Medical Group Llc
Primary Care Mental Health
Willow Street Medical Lab Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 27

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: MA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-09-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts