Individual
PHILIP KENNEY
Active
Individual
PHILIP KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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