Individual
DR. RYAN KENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2107
(607) 763-6412
Mailing address
33 LEWIS RD, 2ND FL, BINGHAMOTN, NY 13905
(607) 770-0025
(607) 271-3664
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
281229
NY
208D00000X
General Practice Physician
281229-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
281229-1
NY
Other
Enumeration date
06/16/2014
Last updated
06/14/2021
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