Individual
DR. JEFFREY R KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 EXECUTIVE CIR, SAVANNAH, GA 31406-3345
(912) 355-2400
(912) 355-5324
Mailing address
5 EXECUTIVE CIR, SAVANNAH, GA 31406-3345
(912) 355-2400
(912) 355-5324
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
051487
GA
207P00000X
Emergency Medicine Physician
27237
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000949946A
—
GA
05
—
000949946B
—
GA
05
—
000949946D
—
GA
05
—
000949946E
—
GA
05
—
000949946F
—
GA
05
—
000949946F
—
SC
05
—
000949946G
—
GA
05
—
000949946H
—
GA
01
—
10058796
AMERIGROUP
GA
05
—
G51487
—
SC
Enumeration date
06/15/2006
Last updated
05/23/2008
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