Individual
DR. RYAN MICHAEL KENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2111 MIDLANDS CT, SYCAMORE, IL 60178-3125
(815) 758-0000
(815) 756-7130
Mailing address
2111 MIDLANDS CT, SYCAMORE, IL 60178-3125
(815) 758-0000
(815) 756-7130
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036-138085
IL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
036-138085
IL
Other
Enumeration date
04/30/2009
Last updated
12/01/2020
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