Individual
DR. PATRICK A KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
789 HOWARD AVENUE, FMP 315A, YALE UNIVERSITY, DEPT OF UROLOGY, NEW HAVEN, CT 06519
(203) 785-2815
(203) 785-4043
Mailing address
789 HOWARD AVENUE, FMP 315A, YALE UNIVERSITY, DEPT OF UROLOGY, NEW HAVEN, CT 06519
(203) 785-2815
(203) 785-4043
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
051947
CT
208800000X
Urology Physician
233892
MA
208800000X
Urology Physician
N9719
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285348301 (MDACC)
—
TX
01
—
8CZ276
BCBS (MDACC)
TX
Enumeration date
07/25/2007
Last updated
03/12/2014
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