Individual
ALEXANDER KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(803) 260-9993
Mailing address
1585 3RD ST, FORT POLK, LA 71459-5102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1141986
—
Other
Enumeration date
05/24/2017
Last updated
10/18/2022
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