| Doctor Name: | MS. KENDRA CIOCCI |
| NPI Number: | 1003209883 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A. |
| License Number: | PA5253 |
| Business Practice Address: | 330 Mount Auburn St Department Of Surgery Cambridge, MA - 021385502 |
| Business Phone Number: | 6174995150 |
| Business Fax Number: | 6174995593 |
| Mailing Address: | 330 Mount Auburn St, Department Of Surgery CAMBRIDGE |
| State: | MA |
| Postal Code: | 021385502 |
| Phone Number: | 6174995150 |
| Fax Number: | 6174995593 |
| NPI Enumeration Date: | 03/18/2015 |
| NPI Last Update Date: | 03/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA5253 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |