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

Individual provider Pediatrics Physician · NPI 1396852406

Dr. Kenneth D Mandl, MD, MPH is a Pediatrics Physician in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

300 Longwood Ave Children's Hospital Boston
Boston, MA 02115-5735
Phone: (617) 355-6624
Fax: (617) 730-0335
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Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 75410 (MA)
Pediatric Emergency Medicine (Pediatrics) Physician Taxonomy 2080P0204X · Licence 75410 (MA)

Record details

NPI number1396852406
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MPH
Sole proprietorNo
NPI enumeratedAugust 24, 2006
Last updated in NPPESAugust 16, 2007
Mailing address300 Longwood Ave, Children'S Hospital Boston-Division Of Emergency Med, Boston, MA 02115-5737

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