National Provider Identifier
Stephen T Kenneson, PA
Stephen T Kenneson, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 726-1861.
Source: public NPPES record, last updated September 11, 2025. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1124178967
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 12, 2007
- Last Updated
- September 11, 2025
Practice Location
- Massachusetts General Hospital Cardiac Surgery
- 55 Fruit Street
- Boston, MA 02114
Phone: (617) 726-1861
Mailing Address
- 163 Gleasondale RD
- Stow, MA 01775-1334
Specialties
- Physician Assistant (363A00000X)
- Surgical Physician Assistant (363AS0400X)
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Biography
Stephen Kenneson, PA-C, is a Boston-based cardiothoracic physician assistant with Massachusetts General Hospital Cardiac Surgery. His background includes physician assistant training at Duke University in 1992 and NCCPA certification, with a listed focus in cardiothoracic and transplant surgery.
Full Record
- NPI
- 1124178967
- Entity Type
- Individual
- Last Name
- Kenneson
- First Name
- Stephen
- Middle Name
- T
- Credential
- PA
- Mailing Street Address
- 163 Gleasondale RD
- Mailing City
- Stow
- Mailing State
- MA
- Mailing ZIP Code
- 01775-1334
- Mailing Country
- US
- Practice Street Address
- Massachusetts General Hospital Cardiac Surgery
- Practice Address Line 2
- 55 Fruit Street
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02114
- Practice Country
- US
- Practice Phone
- (617) 726-1861
- Enumeration Date
- January 12, 2007
- Last Updated
- September 11, 2025
- Sex
- Male
- Sole Proprietor
- No
- Taxonomies
- Physician Assistant (363A00000X), Surgical Physician Assistant (363AS0400X)