Individual
PHILIP KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 W MARKHAM ST # 556, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Mailing address
4301 W MARKHAM ST # 556, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
12521
AL
2085R0202X
Diagnostic Radiology Physician
Primary
E-5653
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000015482
BLUE CROSS
AL
05
—
000015482
—
AL
01
—
00117079
MISSISSIPPI MEDICAID
MS
05
—
009909405
—
AL
05
—
009937203
—
AL
01
—
010033CC76169
SECTION 1011
AL
01
—
051505919
BLUE CROSS
AL
05
—
051505919
—
AL
01
—
051511500
BLUE CROSS
AL
01
—
051512215
BLUE CROSS
AL
01
—
051534428
BLUE CROSS
AL
05
—
169640001
—
AR
01
—
300059301
RAILROAD MEDICARE
AL
01
—
C76169
VIVA
AL
Enumeration date
06/28/2006
Last updated
10/13/2008
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