Individual
DR. JAMES NICHOLAS KENNY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 E PENNSYLVANIA AVE, SUITE 201, PEORIA, IL 61603-3089
(309) 655-7700
(309) 624-8790
Mailing address
900 MAIN ST, STE 530B, PEORIA, IL 61602-5007
(309) 655-7700
(309) 624-8790
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036072378
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072378
—
IL
Enumeration date
12/01/2005
Last updated
01/19/2021
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