Individual
MATTHEW KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20720 PRINCE RANIER PL, LEESBURG, FL 34748-7762
(813) 215-8026
Mailing address
20720 PRINCE RANIER PL, LEESBURG, FL 34748-7762
(813) 215-8026
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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