Search › Massachusetts › 164W00000X
Kennisha Beasley, LPN
NPI 1528921640 · on the registry since 2025
Practice
- Address
- 113 Central Ave
Hyde Park, MA 02136 - Phone
- (617) 407-8682
- Organisation at this address
- Park Place Llc
Videll Healthcare Park Place, Llc
Gahcr Ii Hyde Park Snf Trs Sub, LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts