Individual
DR. SEAN THOMAS KENNIFF
Active
Individual
DR. SEAN THOMAS KENNIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME114457
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008702300
—
FL
01
—
HF125Y
MEDICARE PTAN
FL
Enumeration date
06/09/2010
Last updated
03/15/2021
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