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Organization
LOREN KENNEY
Active
Organization
LOREN KENNEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOREN KENNEY BSN (RN)
(334) 803-6001
Entity
Organization
Contact information
Practice address
464 REMSEN RD, WADING RIVER, NY 11792-1747
(334) 803-6001
Mailing address
464 REMSEN RD, WADING RIVER, NY 11792-1747
(334) 803-6001
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
655123
NY
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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