Individual
MICHAEL KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5842 ROSSLYN AVE, INDIANAPOLIS, IN 46220-2777
(317) 864-9052
Mailing address
5842 ROSSLYN AVE, INDIANAPOLIS, IN 46220-2777
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
20441837A
IN
Other
Enumeration date
09/16/2015
Last updated
12/22/2025
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