Individual
DR. NICHOLAS ALLEN KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1023 NEW MOODY LN, SUITE 102, LA GRANGE, KY 40031-9177
(502) 222-0598
(502) 222-7446
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
45177
KY
Other
Enumeration date
06/07/2007
Last updated
12/07/2020
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