Individual
MRS. JENNA L KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4014 LEAVENWORTH ST, OMAHA, NE 68105
(402) 559-5208
Mailing address
4014 LEAVENWORTH ST, OMAHA, NE 68105
(402) 559-5208
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PENDING
NE
Other
Enumeration date
01/12/2009
Last updated
03/13/2018
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