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Individual

SEAN CHRISTOPHER KENNY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2301 8TH AVE NE STE 225, ABERDEEN, SD 57401-3253
(605) 229-3510
Mailing address
2301 8TH AVE NE STE 225, ABERDEEN, SD 57401-3253

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0470
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6823084
SD
Enumeration date
02/09/2006
Last updated
03/15/2013
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