Individual
KRISTINE KENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 CANAL RD, MASSAPEQUA, NY 11758-6617
(203) 907-7151
(804) 828-0191
Mailing address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
(804) 828-7391
(804) 828-0191
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
315637-01
NY
Other
Enumeration date
04/26/2015
Last updated
06/24/2024
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