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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306500301

Dr. Kendra Derry, MD is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2021.

Licensed in
MA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

330 Brookline Ave Dept OF Anesthesia
Boston, MA 02215
Phone: (617) 667-3112
Fax: (617) 754-8791
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Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 290892 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306500301
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 26, 2021
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022
Mailing address330 Brookine Ave, Department Of Anesthesia, Boston, MA 02215

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