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Individual

DR. THOMAS J KENNY IV

Active
Find providers by NPI
Individual

DR. THOMAS J KENNY IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
34004
IA
207Y00000X
Otolaryngology Physician
Primary
5111
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100251553 00
NE
05
10025206800
NE
05
1239616
IA
05
2239616
IA
01
37196
BLUE CROSS PROVIDER NUM
IA
01
37777
2ND BCBS PROVIDER NUM
IA
05
7701502
SD
05
7701503
SD
Enumeration date
05/11/2006
Last updated
06/15/2012
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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