Individual
MR. PATRICK WILLIAM KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1940 BRAEBURN CIR, SALEM, VA 24153-7388
(540) 725-9771
(540) 725-3624
Mailing address
2000 HEALTH PARK DR FL HP2, BRENTWOOD, TN 37027-4525
(615) 373-7600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0001250333
VA
Other
Enumeration date
02/24/2018
Last updated
09/14/2018
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