Individual
DR. JOHN MICHAEL KENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338-3007
(623) 207-3415
Mailing address
1768 BUSINESS CENTER DR STE 100, RESTON, VA 20190-5359
(800) 762-9244
(786) 672-6006
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
51181
AZ
2084P0800X
Psychiatry Physician
52896
KY
2084P0800X
Psychiatry Physician
69834
CT
2084P0800X
Psychiatry Physician
M-15356
ID
2084P0800X
Psychiatry Physician
MED-PHYS-LIC-91589
MT
2084P0800X
Psychiatry Physician
Q6338
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
316418767
UNITED
NY
01
—
7501836
AETNA
NY
01
—
824114000
MAGELLAN
NY
01
—
P3619670
OXFORD
NY
Enumeration date
12/04/2006
Last updated
01/19/2026
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