Individual
WILLIAM J. KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
4201 HIGHWAY 11 N STE D, PICAYUNE, MS 39466-2014
(228) 216-0528
(769) 242-2556
Mailing address
4201 HIGHWAY 11 N STE D, PICAYUNE, MS 39466-2014
(228) 216-0528
(769) 242-2556
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
10/25/2016
Last updated
07/21/2022
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