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, Llc
Inferred 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