Kenney, Richard D

Kenney, Richard D is an individual health care provider with primary practice located at 2960 Rodeo Park Dr W , Santa Fe NM 87505-6351. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Kenney, Richard D can be contacted via phone (505) 946-1405.

Contact Information

Primary practice address
2960 Rodeo Park Dr W Santa Fe NM 87505-6351
Phone: (505) 946-1405
Fax: (505) 820-1209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD2008-0573 New Mexico
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 016372 Georgia

Profile Details

NPI number 1912956004
LBN Legal business name Kenney, Richard D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Jan 30th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912956004 NPPES
Georgia MEDICAID 000494601

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