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

Stephen T Kenneson, PA

Individual provider Physician Assistant · NPI 1124178967

Stephen T Kenneson, PA is a Physician Assistant in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in
MA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Partly verified

Some contact details are missing from the federal record.

Massachusetts General Hospital Cardiac Surgery 55 Fruit St
Boston, MA 02114
Phone: (617) 726-1861
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Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 527 (MA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 527 (MA)

Record details

NPI number1124178967
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 12, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address163 Gleasondale Rd, Stow, MA 01775-1334

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