Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356375018 Individual Practitioner Female Practitioner

Dr. Stacey C Kennon , MD

Pediatrics • Holliston, MA

Professional Overview & Biography Verified Profile Summary

Dr. Stacey Kennon, MD is a registered healthcare professional specializing in Pediatrics in Holliston, MA. Practice services are available at HOLLISTON PEDIATRIC GROUP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Holliston Pediatric Group
100 Jeffrey Ave.

Holliston, MA 01746

Telephone 5084292800

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Holliston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Holliston, MA (2760 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 73391

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1447284104

Doctor of Medicine (M.D.)

NPI 1447284195

Doctor of Medicine (M.D.)

NPI 1477609295

Doctor of Medicine (M.D.)

Emily Desantis

Nurse Practitioner - Pediatrics

NPI 1508741018
Lindsey Forman , MSW, LICSW

Social Worker - Clinical

NPI 1578877361

Master of Social Work, Licensed Independent Clinical Social Worker

Michelle Bleck , CFNP

Nurse Practitioner - Family

NPI 1598849523

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at HOLLISTON PEDIATRIC GROUP, 100 JEFFREY AVE., HOLLISTON, MA 01746 (Tel: 5084292800)

📍
Updated Business Mailing Address July 08, 2007

Registered at HOLLISTON PEDIATRIC GROUP, 100 JEFFREY AVE., HOLLISTON, MA 01746 (Tel: 5084292800)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STACEY KENNON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #73391 in MA)

🟢
Initial NPI Registration & Enumeration July 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Stacey Kennon. Be the first to share your experience!

Sign in to leave a review for Dr. Stacey Kennon

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1356375018
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Holliston Pediatric Group, 100 Jeffrey Ave.

Holliston, MA 01746

Phone: 5084292800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.