Individual
BRIAN JOSEPH KENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(862) 241-5729
Mailing address
150 BERGEN ST, NEWARK, NJ 07103-2496
(862) 241-5729
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB11369900
NJ
Other
Enumeration date
03/19/2019
Last updated
02/14/2024
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