Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jennifer Moore Kickham, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1033143128

Dr. Jennifer Moore Kickham, MD is an Obstetrics/Gynecology in Boston, Massachusetts. Graduated from University of Texas Medical School at Houston in 1998, 28 years ago. Practices with The General Hospital Corporation, a 1,276-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
28
Trained at
University of Texas Medical School at Houston
Licensed in
MA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

55 Fruit Street Yaw 4 Vincent Ob/gyn Service
Boston, MA 02114
Phone: (617) 724-6850
Fax: (617) 724-5843
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75 Francis St, Boston, MA 02115-6110 — (617) 732-5500

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 215787 (MA)

Record details

NPI number1033143128
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated 1998 (28 years in practice)
Group practice The General Hospital Corporation — 1276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Boston